1101 INDUSTRY ST WESTERN PACIFIC BUILDING MATERIALS 2024-10-25

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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)PermitSeryices@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:1101 INDUSTRY STREET EVERETT 98203 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL WNDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: ❑FRANC HISE/UTI LITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB#: JOB#: DESCRIPTION OF SITE WORK/ RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: @ FENCE IN ROW 6 FT IN HEIGHT STORMWA TER DISCHARGES TO: ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer ❑ASPHALT I 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 I GRADING I 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 I AERIAL I OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): ITotal New+Replaced: SF PLEASE SEE ATTACHED SPECS FROM SUBCONTRACTOR, AND AERIAL DIAGRAM CONTACT INFORMATION OWNER/APPLICANT NAME:WESTERN PACIFIC/SHANE KUK OWNER/APP. MAILING ADDRESS: sTREE7`1101 INDUSTRY STREET ,TY EVERETT STATE WA ,P98270 OWNER/APP.PHONE:4255082522 OWNER/APP. EMAIL:S.KUK@GOWESTPAC.COM 'Required for Work in Public Right-of-Way CONTRACTOR NAME: CITY WIDE FENCE COMPANY CONTRACTOR ADDRESS: STREET16923 48TH AVE WEST c,y LYNNWOOD STATE WA z,P 98037 CONTRACTOR PHONE:4257458645 1CONTRACTOR EMAIL:SALES@CITYWIDEFENCE.COM CONTRACTOR LICENSE#(REQUIRED):600643332001001 EVERETT BUSINESS LICENSE#(REQUIRED): 27583 PRIMARY CONTACT: 8 OWNER /APPLICANT ❑ CONTRACTOR ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME:SHANE KUK CONTACT PHONE:4255082522 CONTACT EMAIL:S.KUK@GOWESTPAC.OM 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 I am authorized by the owner of this property to perform the work for which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 44r1Z46ZS IPW Own r/Authorized Agent Signature Date (Revised 4/21/2022)