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i PLOLIC WORKS PERMIT A&LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I https://everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 2701 ROCKEFELLER AVE, EVERETT, WA 98201. <br />SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ✓❑MULTI -FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br />IF APPLICABLE: Z LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) <br />IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT # <br />UTILITY COMPANY'S NAME & JOB #: JOB # <br />DESCRIPTION OF SITE WORK I RIGHT-OF-WAY WORK <br />FILL IN ALL QUANTITIES OF W�RIS �B_E_OV,II A JPSLI LEQLOG <br />d 1'�viv �v ?' <br />NI <br />❑✓ FENCE IN kW FT IN HEIGHT <br />❑ DRIVEWAY APRON / CURB CUT FT WIDE <br />❑ ASPHALT / CONCRETE PAVING SF <br />❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF <br />❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br />❑✓ CLEARING / GRADING / FILL / EXCAVATE +/- 8,000 CU CY <br />❑ CUT/BORE IN PAVEMENT (PARALLEL) LF <br />❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF <br />❑ POLE WORK / AERIAL / OVERLASH LF <br />ADDITIONAL DESCRIPTION (AS NEEDED): <br />DRAINAGE MITIGATION QUESTIONS: <br />STORMWA TER DISCHARGES TO: <br />0 Combined Sewer <br />❑ Separated Storm Sewer <br />❑ Direct Discharge to Snohomish River or Puget Sound <br />TRIGGERED REQUIREMENTS: <br />0 MR2 Only ❑ MR1-5 ❑ MR1-9 <br />QUANTITY OF PROPOSED HARD SURFACES: <br />Proposed Roof Area: 0 SF <br />Proposed Hardscape: 0 SF <br />Total New + Replaced: 0 SF <br />LEGAL DESCRIPTION. PARCEL A: LOTS 1 THROUGH 8, INCLUSIVE, BLOCK 627, PLAT OF <br />EVERETT, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 3 OF PLATS, PAGE 32 <br />RECORDS OF SNOHOMISH COUNTY, WASHINGTON <br />CONTACT INFORMATION <br />OWNER / APPLICANT NAME: EVERETT OZ DEVELOPER LLC <br />OWNER / APP. MAILING ADDRESS: STREET 1420 FIFTH AVE, SUITE 2200 <br />cITY SEATTLE STATE WA ZIP 98101 <br />OWNER / APP. PHONE: 206-234-6543 <br />OWNER / APP. EMAIL: trent@onetrent.com <br />"Required for Work in Public Right -of -Way <br />CONTRACTOR NAME: BRASETH CONSTRUCTION <br />CONTRACTOR ADDRESS: STREET3835 W MARGINAL WAY SW <br />CITY SEATTLE STATE WA ZIP 98106 <br />CONTRACTOR PHONE: 206-937-5661 <br />CONTRACTOR EMAIL: milo@brasethconstruction.com <br />CONTRACTOR LICENSE #(REQUIRED): BRASECC162B2 <br />EVERETT BUSINESS LICENSE #(REQUIRED <br />PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR ❑✓ OTHER (Architect, Engineer, Etc.) CLARKIBARNES _ <br />CONTACT NAME: <br />M I C H A E L HATCHER <br />CONTACT PHONE: 360-244-4523 <br />CONTACT EMAIL: mhatcher@clarkbarnes.com <br />ACKNOWLEDGEMENT. I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <br />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 <br />authorized in writing from the Building Official before being authorized under any circumstance. I am the owner, or l am authorized by the owner of this property to <br />perform the work for Which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />_ -% City of Everett Official Use Only <br />,. PERMIT # <br />8 May 20 1 -)(2, <br />PW <br />... �' <br />2jwS-- <br />Owner/Authorii-e—d"4gent Signature Date (Revised 1172019) <br />