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9702 19TH AVE SE 2024-07-23
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9702 19TH AVE SE 2024-07-23
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Last modified
7/23/2024 1:02:06 PM
Creation date
3/27/2024 6:57:44 AM
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Address Document
Street Name
19TH AVE SE
Street Number
9702
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PUBLIC WORKS PERMIT APPLICATION <br />EVERETT <br />CITY OF EVERETT PERMIT SERVICES <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:Heverettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 9620 & 9702 19th Ave SE <br />SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br />IF APPLICABLE: El LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) PREAPP21-023, REV1121-024, REV1121-033 (SEPA), REV121-092 (Mod Req.) <br />EPPLICABLE: ElFRANCHISE/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 />❑ FENCE IN ROW 0 FT IN HEIGHT <br />❑ DRIVEWAY APRON / CURB CUT 46 FT WIDE <br />❑ ASPHALT / CONCRETE PAVING 44,398 SF <br />❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY 0 LF <br />❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT 477 FT TOTAL HEIGHT <br />❑ CLEARING / GRADING / FILL / EXCAVATE 15,130 CY <br />❑ CUT/BORE IN PAVEMENT (PARALLEL) 166 LF <br />❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) 332 LF <br />❑ POLE WORK / AERIAL / OVERLASH 0 LF <br />ADDITIONAL DESCRIPTION (AS NEEDED): <br />DRAINAGE MITIGATION QUESTIONS: <br />STORMWATER DISCHARGES TO: <br />❑ Combined Sewer <br />s❑ Separated Storm Sewer <br />❑ Direct Discharge to Snohomish River or Puget Sound <br />TRIGGERED REQUIREMENTS: <br />❑ MR2 Only ❑ MR1-5 s❑ MR1-9 <br />QUANTITY OF PROPOSED HARD SURFACES: <br />Proposed Roof Area: 75,646 SF <br />Proposed Hardscape: 44,398 SF <br />Total New+ Replaced: 120,044 SF <br />Develop 85 townhomes within 13 buildings and associated roadway, sidewalks, stormwater, and other <br />utilities. <br />CONTACT INFORMATION <br />OWNER / APPLICANT NAME: Pacific Ridge Homes / Kellie Schwacha <br />OWNER/APP. MAILING ADDRESS: STREET 17921 Bothell -Everett Hwy., Suite 100 <br />CITY Bothell STATE WA ZIP 98012 <br />OWNER / APP. PHONE: (425) 939-1158 <br />OWNER / APP. EMAIL: kmschwacha@pacificridgehomes.com <br />`Required for Work in Public Right -of -Way <br />CONTRACTOR NAME: <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />I EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER /APPLICANT ❑ CONTRACTOR 0 OTHER (Architect, Engineer, Etc.) Civil Engineer(CPH Consultants) <br />CONTACT NAME: <br />Jamie Schroeder <br />CONTACT PHONE: (425) 285-2392 <br />CONTACT EMAIL: jamie@cphconsultants.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. 1 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 />City of Everett Official Use Only <br />PERMIT # <br />Kellie M Schwacha Digitally signed Kellie M Schwacha P /� / <br />Date: 2022.01.12 11:49:21-08'00' V V <br />Owner/Authorized Agent Signature Date (Revised 1172019) <br />
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