815 SIEVERS-DUECY BLVD 2025-05-05

`i PL_LIC WORKS PERMIT Ai _ LICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:815 Sievers Duecy Blvd, Everett WA 98203 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ['DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL C 1INDUSTRIAL IF APPLICABLE: ❑LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.)REVI20-036 IF APPLICABLE: ❑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: ill FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer ❑ASPHALT/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/GRADING/FILL I EXCAVATE CY ❑MR2 Only ❑MR1-5 ❑ MR1-9 El 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/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: SF Site Development for Industrial Building CONTACT INFORMATION OWNER/APPLICANT NAME:Underwood Gartland 64 LLC OWNER/APP. MAILING ADDRESS: STREET PO Box 3513 CITY Bellevue STATE WA zrP 98009 OWNER!APP. PHONE:425-941-3182 OWNER/APP. EmAiLdavid@ug-dev.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: Foushee and Associates CONTRACTOR ADDRESS: STREET3260 118th Ave SE Suite 1000 c,n Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE:425-957-2140 CONTRACTOR EMAIL:dgrOth p@fOUShee.COm CONTRACTOR LICENSE#(REQUIRED):FOUSHAC1 580D EVERETT BUSINESS LICENSE#(REQUIRED): 024790 PRIMARY CONTACT: [ l OWNER /APPLICANT ❑CONTRACTOR El OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:4.25-941-3182 Shannon Underwood CONTACT EMAIL:shannon@ug-dev.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. 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./am the owner,or I am authorized by the owner of this property to perform the work for which application is made,and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature Date (Revised 1/72019)