6920 SEAWAY BLVD 2024-11-08 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION �� CITY CIF EVERETT PERMIT SERVICES EV&TT SUBMITTAL INSTRUCTIONS: EITei application&Submittal dommert t)PennF—evbes@everek�Ae.gov cr cICQ off at 320D Cif Sbeet 2C1 Floor DIcp By WASHINGTON CONTACT INFORMATION: (P)425-257-8810 1(E) PermitServlces@everettwa.gov I(W)everettwa.gov/perrnits PROJECT SITE INFORMATION PROJECT ADDRESS: 6920 Seaway Blvd, Everett, WA 98203 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY iiCOMMERCIAL ❑INDUSTRIAL IF APPLICABLE: 0 LAND USE PROJECT# (SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: O FRANCHISE/UTILITY 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: IIN FENCE IN ROW 6 FT IN HEIGHT STORMWA TER DISCHARGES TO- 0 DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer 0 ASPHALT/CONCRETE PAVING SF ❑Separated Storm Sewer 0 RETAINING WALL/ ROCKERY IN RIGHT-OF-WAY LF D Direct Discharge b Snohomish River or Puget Sound ❑RETAINING WALL/ ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: 0 CLEARING/GRADING/ FILL/ EXCAVATE CY ❑MR20nly 0 MR1-5 0 MR1-9 0 CUT/BORE N PAVEMENT(PARALLEL) LF QUANTITYOF PROPOSED HARD SURFACES: ❑CUT/BORE N PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: g 0 POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: g ADDITIONAL DESCRIPTION AS NEEDED): I Total New+ Replaced: SF Installation of 650 linear feet of 6 foot high chain-link fence with 2 Qates to isolate a Qround-mounted solar array CONTACT INFORMATION OWNER /APPLICANT NAME: Fluke Electronics Corporation OWNER /APP. MAILING ADDRESS: STREET 6920 Seaway Blvd CITY Everett STATE WA ZIP 98203 OWNER/APP. PHONE:425-446-6423 IowNER/APP.EMAIL: randall.chenier@flukenetworks.com "Required for Work in Public Right-of-Way CONTRACTOR NAME: Artisan Electric Inc CONTRACTOR ADDRESS: STREET 969 S Nebraska St CITY Seattle STATE WA ZIP 98108 CONTRACTOR PHONE:206-556-5703 IcoNTRACTOR EMAIL:jason.parr@artisanelectricinc.com CONTRACTOR LICENSE#(REQUIRED):ARTISE1936L 1 1 EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER /APPLICANT i i CONTRACTOR D OTHER (Architect, Engineer, Etc.) CONTACT NAME:J !CONTACT PHONE:206-556-5703 a s o n parr 1CONTACT EMAIL:jason.parr@artisanelectricinc.com 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 T1v 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 an authorized by the owner of this property to perform the work for which application is mode, and I comply with tha State Contractors Law 18.27„RCWand 296.200A WAC _ City of Everett Official Use Only '-r IPWT OWner/Author d gent ignature Date (Revised 412 1 12 022)