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PUBLIC WORKS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT <br />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:2604 - 2614 SUMMIT AVENUE <br />SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑✓ MULTI -FAMILY ❑✓ COMMERCIAL ❑INDUSTRIAL <br />IF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) <br />EPPLICABLE: ❑ FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT # <br />UTILITY COMPANY'S NAME & JOB #: JOB # <br />DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK <br />FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: <br />❑✓ FENCE IN ROW 6-ft (in alley) 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 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 />STORMWATER DISCHARGES TO: <br />❑ Combined Sewer <br />❑ Separated Storm Sewer <br />✓❑ Direct Discharge to Snohomish River or Puget Sound <br />TRIGGERED REQUIREMENTS: <br />❑ MR2 Only ✓❑ MR1-5 ❑ MR1-9 <br />QUANTITY OF PROPOSED HARD SURFACES: <br />Proposed Roof Area: 14,623` SF <br />Proposed Hardscape: 11,957" SF <br />Total New+ Replaced: 26,580 SF <br />*Note project utilizes direct discharge to not increase the runoff. The roof areas and other new imperv. <br />areas were offset by removing a portion of Summit Avenue to reduce the impery area to match the ex. <br />conditions. The area above existing impervious was 4,599 SF, which is detained using bioretention. <br />CONTACT INFORMATION <br />OWNER / APPLICANT NAME: Evergreen Recovery Centers Linda Grant, CEO and Marla Gese, COO <br />OWNER/APP. MAILING ADDRESS: STREET 11627 Airport Road Suite F <br />CITY Everett STATE WA zip 98204 <br />OWNER / APP. PHONE:425.493.5310 <br />1OWNER / APP. EMAIL: LGrant ever reenrc.org, MGese@everqrp <br />"Required for Work in Public Right -of -Way <br />CONTRACTOR NAME: Kirtley Cole Associates LLC James Schwartz <br />CONTRACTOR ADDRESS: STREET2820 Oakes Ave Suite B <br />,Ty Everett STATE WA ZIP 98201 <br />CONTRACTOR PHONE: 425-609-0446 <br />1CONTRACTOR EMAIL: schwartz@klrtle-cole.com <br />CONTRACTOR LICENSE #(REQUIRED): KIRTLAL951 BC EVERETT BUSINESS LICENSE #(REQUIRED): 042968 <br />PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR ❑✓ OTHER (Architect, Engineer, Etc.) <br />CONTACT NAME: <br />Dawn B u s h n aq <br />CONTACT PHONE:206-963-6306 <br />CONTACT EMAIL: dawn@bushnagstudio.com <br />ACKNOWLEDGEMENT: 1 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 I am authorized by the owner of this property to <br />perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />9/22/21 <br />Owner/Authorized Agent Signatur4__ Date <br />City of Everett Official Use Only <br />PERMIT # <br />PW <br />(Revised 1172019) <br />