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V <br /> • <br /> CITY OF EVERETT <br /> Public Works <br /> EVERETT <br /> WASHINGTON <br /> Small Project Stormwater Site Plan/Report <br /> This Small Project Stormwater Site Plan and Report provides a simplified template to assist small projects in <br /> meeting the City of Everett's stormwater requirements in accordance with the 2019 Stormwater Management <br /> Manual for Westen Washington (SWMMWW). <br /> If you choose to use this template,you are agreeing to construct,operate and maintain the Best Management <br /> Practices (BMPs) selected for your project as required to meet Minimum Requirements (MR) #1-5 in <br /> accordance with the Manual. Alternatively, you may choose to hire a professional or submit your own <br /> Stormwater Report (report and drawings)that meets the minimum standards described in the Manual. <br /> Project name: N12 kA3 CUB«rUr` <br /> Project address \'2\cr3 v" S_\ s - Permit number: <br /> Owner name: -\-- \0\0_, MUtX` n4 <br /> `Owner mailing address: AN._E 31`c\ LA TO- "`G`'\ h aV47'71" <br /> Owner phone:(' -5- '0-2A2) Owner email:&AE,,MWh'(�clt} ,W 012,,y,,\•Cow <br /> Applicant name: <br /> Applicant mailing address: .\q0{j 323 S'c �ckcornc^, CAC31-4-2.-1' <br /> Applicant phone:t2-' ) -(03°1; Applicant email:\j1uemocw-ma14) .WAS 5mcN'' (- <br /> Primary contact: Q Owner El Applicant El Other (architect,engineer,etc.): —_ <br /> Primary contact name: Primary contact phone: <br /> Primary contact email: <br /> f <br /> Report prepared by: r3 hit Moon 22ct o U-C Date: ___ <br />