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n irrm © <br /> CITY OF EVERETT <br /> Public Works AUG 2023 1 <br /> EVERETT CITY OF EVERETT <br /> Permit Services <br /> WASHINGTON <br /> Small Project t mwat Site Plan/Report Plan/Report for <br /> projects i theCombined w 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 /> ENT <br /> 3 a r z hb"ti•Q. r c a s „* <br /> Project name: Cook Renovation DATE `' a 1'-: <br /> CITY OF EVERETT RE ,.:..::e:, , i PERM <br /> Project address: 1403 Rockefeller Ave. I Permit number: B2305-016 <br /> it <br /> coa.... UMA 4 a s dg g... g�. .. R It. <br /> Owner name: Katy Cook <br /> Owner mailing address: 1403 Rockefeller Ave. Everett, WA 98201 <br /> Owner phone: 206-793-9084 I Owner email: katyacook@hotmail.com <br /> Applicant name: Katy Cook <br /> Applicant mailing address: 1403 Rockefeller Ave. Everett, WA 98201 <br /> Applicant phone: 206-793-9084 Applicant email: katyacook@hotmail.com <br /> Primary contact:8 Owner ❑Applicant ❑ Other(architect, engineer,etc.): <br /> Primary contact name: Primary contact phone: <br /> Primary contact email: <br /> Golesh Architecture 06/02/2023 <br /> Report prepared by: Date: <br />