29 E MARINE VIEW DR 2024-02-28 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EV E R E T T SUBMITTAL INSTRUCTIONS:Email application&submittal documents to PermitServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:Approx.29 E Marine View Dr SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY HCOMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.)n/a IF APPLICABLE: ❑FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT#n/a UTILITY COMPANY'S NAME&JOB M JOB#: DESCRIPTION OF SITE WORK I RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: @ FENCE IN ROW 6 FT IN HEIGHT STORMWATER DISCHARGES TO: ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑ Combined Sewer ❑ASPHALT/CONCRETE PAVING SF ❑Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑ CLEARING/GRADING/FILL/EXCAVATE CY ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: SF Approximately 300 If of new 6' high black powder-coated fence in right-of-way. An additional approximately 1,825 If of existing c aln link fence to be extended to 6' high blackpowder-coated ence. CONTACT INFORMATION OWNER/APPLICANT NAME:City of Everett Public Works OWNER/APP. MAILING ADDRESS: STREET3200 Cedar St CITY Everett STATE WA ZIP 98201 OWNER/APP.PHONE:425-257-8889 OWNER/APP.EMAIL:ecoba@everettwa.gov *Required for Work in Public Right-of-Way CONTRACTOR NAME: Burton Construction, Inc. CONTRACTOR ADDRESS: STREET 3915 E Nebraska Ave CITY Spokane STATE WA z,P 99217 CONTRACTOR PHONE:(509)468-4932 CONTRACTOR EMAIL:EBenjamin@burtonconstruction.net CONTRACTOR LICENSE#(REQUIRED):BURTOCIO38MZ EVERETT BUSINESS LICENSE#(REQUIRED): 053839 PRIMARY CONTACT: N OWNER /APPLICANT ❑CONTRACTOR ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: Emily Coba CONTACT PHONE:425-257-8889 CONTACT EMAIL:ecoba@everettwa.gov ACKNOWLEDGEMENT-I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must 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 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 perform the work for which application is made,and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 2 Z3233 IPW Owner/Autho d Agent Signature Date (Revised 4/21/2022)