920 MILLWRIGHT LOOP S BASE FILE 2023-12-29

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: TBD - Parcel A17 on Millwright Loop; near 1028 13th Street SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY ❑✓ COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: F FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT # UTILITY COMPANY'S NAME & JOB #: JOB # DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑ FENCE IN ROW 0 FT IN HEIGHT STORMWA TER DISCHARGES TO: ❑ DRIVEWAY APRON / CURB CUT 0 FT WIDE ❑ Combined Sewer ASPHALT / CONCRETE PAVING 0 SF ❑ Separated Storm Sewer ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY 0 LF 71 Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT 0 FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑✓ CLEARING / GRADING / FILL / EXCAVATE 1250 CY ❑ MR2 Only ❑ MR1-5 ✓❑ MR1-9 ❑ CUT/BORE IN PAVEMENT (PARALLEL) 0 LF QUANTITY OF PROPOSED HARD SURFACES: Ll CUT/BORE IN PAVEMENT (NON -PARALLEL) 0 LF Proposed Roof Area: 3,500 SF ❑ POLE WORK / AERIAL / OVERLASH 0 LF Proposed Hardscape: 7623 SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New + Replaced: 11,123 SF Project includes the following elements: 1) the construction of a commercial office space and Marina restroom facility on A17; 2.) construction of new landscapinq and public access plaza amenities as part of the Esplande District development. CONTACT INFORMATION OWNER / APPLICANT NAME: Port of Everett OWNER / APP. MAILING ADDRESS: STREET 1205 Craftsman Way, Suite 200 ciTY Everett STATE WA zip 98201 OWNER / APP. PHONE: 425-259-31 64 1OWNER / APP. EMAIL: 'Required for Work in Public Right -of -Way CONTRACTOR NAME: TB CONTRACTOR ADDRESS: STREET CITY STATF ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ✓❑ OWNER / APPLICANT ❑ CONTRACTOR Ll OTHER (Architect, Engineer, Etc.) _ CONTACT NAME: Brandon Whitaker CONTACT PHONE: 425-508-56627 CONTACT EMAIL: bwhitaker@portofeverett.com ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # Owner/Authorized Agent Signature Date (Revised 1172019)