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PU JC WORKS PERMIT AFLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> OLT (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I https://everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:The Boeing Company,3003 WEST CASINO ROAD,Everett,Washington 98023: 45-749,Stall 113,Stall 114,&Stall 115 <br /> SITE WORK FOR PROJECT TYPE: ESFR-DETACHED ❑TOWNHOUSE ['DUPLEX EADU ❑MULTI-FAMILY ECOMMERCIAL ['INDUSTRIAL <br /> IF APPLICABLE: ❑LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> IF APPLICABLE: El FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# <br /> UTILITY COMPANY'S NAME&JOB#: JOB# <br /> = DESCRIPTION OF SITE WORK/ RIGHT-OF-WAY WORK <br /> FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: <br /> ❑FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: <br /> ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer <br /> ❑✓ ASPHALT/CONCRETE PAVING 5,075 SF ✓❑ Separated Storm Sewer <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> ❑✓ CLEARING/GRADING/FILL/EXCAVATE 752 ecav&fill CY(Net Zero) ❑ MR2 Only El MR1-5 ❑MR1-9 <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area.4,460/ 5,500 SF <br /> ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape.650 SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced:650 SF <br /> Stall 113: Remove water service to existing (2) hardstands and provide new 2" water and RPBPs. <br /> Trailer Complex: Cap existing 1" water and sewer, Install new 2" water and 6" san to restroom trailer. <br /> Stall 114: Install new storage shed. Stall 115: Install relocated office trailer and restroom trailer. <br /> CONTACT INFORMATION <br /> OWNER/APPLICANT NAME:The Boeing Company <br /> OWNER/APP. MAILING ADDRESS: STREET 3003 WEST CASINO ROAD <br /> CITY Everett STATE WA zip 98023 <br /> OWNER/APP.PHONE:425.260.2668 OWNER/APP. EMAIL:todd.j.haberlack@boeing.com <br /> *Required for Work in Public Right-of-Way <br /> CONTRACTOR NAME: Dahlgren Industrial, Inc. <br /> CONTRACTOR ADDRESS: STREET 13975 Interurban Ave S `/�/Q <br /> CITY Tukwila STATE '�`�A ZIP 98168 <br /> CONTRACTOR PHONE:(206)236-2300 CONTRACTOR EMAIL: jeffw@dahlgrenindustrial.com <br /> CONTRACTOR LICENSE#(REQUIRED):DAHLGI1988BQ EVERETT BUSINESS LICENSE#(REQUIRED): 042200 <br /> PRIMARY CONTACT: (]OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: CONTACT PHONE:425.260.2668 <br /> Todd Haberlack CONTACT EMAIL:todd.j.haberlack@boeing.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.I 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 /> 0 /z/E_ <br /> PERMIT# <br /> PW <br /> Owner/Authorized Agent Signature Date (Revised 1/72019) <br />