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CITY OF EVERETT <br /> Public Works ` City of Everett Permit Review <br /> EVERETT EVERETT Status: Reviewed for Permit <br /> WASHINGTON WASHINGTON <br /> 12/23/2023 9:07:49 AM <br /> Small Project Stormwater Site Plan/Report for <br /> projects in the Combined Sewer Area <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 the combined sewer area, per the City's Design <br /> and Development Standards and Specifications (DCSS). <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 City Standards. Alternatively, you may <br /> choose to hire a professional or submit your own Stormwater Report(report and drawings)that meets <br /> the minimum standards described in the DCSS. <br /> Project Site Information <br /> Project name: �'�G�t441— <br /> Project address: lig ) Permit number: <br /> Contact information <br /> Owner name: I9e l4i-r'o e <br /> Owner mailing address: (,,-,41 1 G-f- <br /> Owner phone: V zt—_ 3 (V 77`� I Owner email: <br /> Applicant name: IL'�� CuaG4-pOO� <br /> Applicant mailing address: Y,4/ 9 <br /> Applicant phone: (4t r, Applicant email: Ca,,;7 G <br /> Primary contact:Lmwner ❑Applicant ❑ Other(architect, engineer,etc.): <br /> 77 <br /> Primary contact name: Primary contact phone: 4f-2-<-- <br /> Primary <br /> f2-<--Primary contact email: <br /> �%l�i�' <br /> Report prepared by: � `►'� Date: <br />