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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 FAX425-257-8857 I(E)everetteps@everettwa.govl https://everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS:505 Colby Ave <br />SITE WORK FOR PROJECT TYPE: ✓❑SFR-DETACHED LJTOWNHOUSE ❑DUPLEX 71ADU —]MULTI-FAMILY ACOMMERCIAL UINDUSTRIAL <br />IF APPLICABLE: LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) <br />W APPLICABLE: — FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT # <br />UTILITY COMPANY'S NAME & JOB M JOB # <br />DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK <br />FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: <br />7j FENCE IN ROW 3.5 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 />LJ 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: SF <br />Proposed Hardscape: SF <br />Total New+ Replaced: SF <br />replacinq an existinq 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 grade cedar placed horizontally <br />CONTACT INFORMATION <br />OWNER /APPLICANT NAME: Hilary Kemp <br />OWNER IAPP. MAILING ADDRESS: ...,505Colby <br />cm Everett STATE WA zip 98201 <br />OWNER I APP. PHONE:206-359-5369 <br />1OWNER/ APP. EMAIL:Ilakemp69@gmall.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 />Cm' STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: C✓J OWNER / APPLICANT CONTRACTOR OTHER (Architect, Engineer, Etc.) <br />CONTACT NAME: <br />Hilary Kemp <br />CONTACT PHONE:2063595369 <br />CONTACT EMAIL: hakemp69@gmall.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 1 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 />Owner/Authorized Agent Signature <br />11 /24/2021 <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />PW <br />(Revised 1172019) <br />