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PUBLIC WORKS PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I https:Heverettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:505 Colby Ave <br /> SITE WORK FOR PROJECT TYPE: (✓SFR-DETACHED LITOWNHOUSE L DUPLEX ❑ADU LIMULTI-FAMILY DCOMMERCIAL UINOUSTRIAL <br /> IF APPLICABLE: U LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) <br /> IF APPLICABLE: I I FRANC HISEIUTI LITY COMPANY,ANNUAL BLANKET PERMIT# ._ <br /> UTILITY COMPANY'S NAME&JOB M JOB# <br /> DESCRIPTION OF SITE WORK I RIGHT-OF-WAY WORK <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: <br /> n FENCE IN ROW 3.5 FT IN HEIGHT STORMWATER DISCHARGES TO: <br /> DRIVEWAY APRON I CURB CUT FT WIDE Combined Sewer <br /> I I ASPHALT/CONCRETE PAVING SF (.._1 Separated Storm Sewer <br /> U RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF Direct Discharge to Snohomish River or Puget Sound <br /> 1-1 RETAINING WALL I ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> L3 CLEARING I GRADING/FILL I EXCAVATE CY J MR2 Only ❑MR1-5 L.1 MR1.9 <br /> U CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: <br /> 1_1 CUTIBORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF <br /> [ I POLE WORK I AERIAL/OVERLASH LF Proposed Hardscape: SF <br /> ADDITIONAL DESCRIPTION AS NEEDED); Total New+Replaced: SF <br /> replacing an existing decrepit 42 inch cedar fence with new fence of same heiqht & material <br /> new fence heiqht 42 inch (3.5 feet) as per code in ROW <br /> new fence material fence qrade cedar placed horizontally <br /> CONTACT INFORMATION <br /> OWNER/APPLICANT NAME:Hilary Kemp <br /> OWNER 1 APP. MAILING ADDRESS: ITREET505 Colby <br /> cITr Everett STATE WA ZAP 98201 <br /> OWNER f APP.PHONE:206-359-5369 1OWNER I APP.EMAIL,hakemp69@gmail.com <br /> 'Required for Work In Public Right-of-Way <br /> CONTRACTOR NAME: OWNER- as per phone consult w public works tech "OK for owner to build own fence" <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE, ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#REQUIREb: EVERETT BUSINESS LICENSE 1f(REQUIRED): <br /> PRIMARY CONTACT: F,/1 OWNER /APPLICANT ❑CONTRACTOR 1. )OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME:Hilary <br /> PHONE:2063595369 <br /> bilary Kemp CONTACT EMAIL:hakemp69@gmail.corn <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.1 am the owner,or I am authorized by the owner of this property to <br /> perform(lie work for which application is made,and 1 comply with the State Contractors Law 16.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 5/:�p 11/24/2021 IPW <br /> OwnerfAuthorizod Agent Signature Date (Revised 1/72019) <br />