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PUBLIC WORKS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 32M CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (P)425-25T-MID I FAX 425-257-8857 1(E) everettePsaevemttwa.9ov l https:llevemtt .gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS:801 Welmore Avenue, Everett WA 911201 <br />SITE WORK FOR PROJECT TYPE: rIWR-DETACHED OTOWNHOUSE DOUPLEX OADU ❑MULTWAWLY OCOMMERCIAL OINUUSTRIAL <br />IFAPPUCABLE:❑LANDUSEPRWECTK(SEPNPRE-APP,SS,ETC.) <br />IFAPPLICABLE:❑FRANCHISEMLLITYCOMPMY,ANNUALBIANKETPERMRb <br />UTILITY COMPANTS NAME A JOB M JOBN <br />DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK <br />FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE; <br />❑FENCE IN ROW FT IN HEIGHT <br />❑DRIVEWAY APRON/CURB CUT FTWIDE <br />❑ ASPHALT / CONCRETE PAVING 4•nO SF <br />El RETAINING WALL ROCKERY IN RIGHT-OF-WAY LF <br />❑ RETAINING WALL I ROCKERY OVER 4FT IN HEIGHT FTTOTALHEIGHT <br />❑ CLEARING /GRADING I FILL/EXCAVATE CY <br />❑ CUTWRE IN PAVEMENT (PARALLEL) LF <br />❑ CUTI80RE IN PAVEMENT(NON-PARALLEL) LF <br />[I POLE WORK/AERIAL I OVElk" LF <br />ADDITIONAL DESCRIPTION AS NEEDED: <br />DRAINAGE MITIGATION QUESTIONS: <br />STORMWATER DISCHARGES TO: <br />IJ Combined Sewer <br />❑ Saparaled Slmm Samar <br />0 [Area DNaie a W 9mlomisti glvwor Pleat Sound <br />TRIGGERED REQUIREMENTS: <br />❑MR20 O+MR14 ❑MRI6 <br />OUANOTYOF PROPOSED HARD SURFACES <br />Prouder] Hoof Area: 820 aF <br />PropoaeE HeMadpe: 0.770 SF <br />Total New, Replaced: 5.390 SF <br />Construction of pedestrian plaza and adjacent sidewalks for plaza and new greenhouse building <br />CONTACT INFORMATION <br />OWNER/APPLICANT NAME: EvereS Community College <br />OWNER/APP. MAILWGADDRESS aimtr200OTOwer S9ee1 <br />m Everett STATE WA ze 98201 <br />OWNER I APP. PHONE: 4lea'3884518 <br />OWNERIAPP.EMAIL:eaias@everdicc.eau <br />'Nepdred fw WORN Putllc Po9Md'Wey <br />CONTRACTORNAME: TBD -Public Works Bidding <br />CONTMCTORADDRESS: <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />WEll BUSINESS LICENSE AREQUIR60): <br />PRIMARY CONTACT: ❑ OWNER I APPLICANT ❑CONTRACTOR 16 OTHER (A1CM18U, Engineer, Elc.)r'e"®Pa""w°^`+ <br />CONTACT NAME: <br />Joe Muller <br />CONTACT ONE; (MB) 22T-0314 <br />CONTACEMAIL:jmulle@paip.pm <br />AGMOWLEDOEMENP I he"nviswM f1is appfi•afan aM•pl(mm the mlomxiion•onetmad M1eNn w Mre and snaM. NbMtlore pum'uW to We p•muY most <br />amply utlM1 Gxrenl letle24 alaf•, aM bsal bw. 2M1e 9'e^lin9 M e pamM wm}' eulMn'ms appmwtl wan: aM no tleuiaMna IMnM1am. OeMlliorria must Mal Oe <br />eullMzaaM a+flMpl IM Suiltlng ORnJal6elwe0am9aNM1oliutl untlxanysiumalance.l am Me owms, wl amauaxriatl Ey amownwo/This popMyro <br />peMrmlM xaM Id x9dM eppM•Ikn /s metlp eMl pomMy wxsh Me Slate CaMrtclwa Lew 1B2)FCW entl28H.2MA WAG <br />QTy d Evxetl OIIMeI I ke OMY <br />PERMIT 9 <br />PW F <br />3 01 O I2- <br />Tc-L//�� 3�8�2022 <br />own nwuwnxa A9mlalenMar. Iw• IR•wa•d lnz919/ <br />