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PUBLIC WORKS PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> TSUBMITTAL.INSTRUCTIONS Finail appl,cwt on 8 sulxrxttal dowmeMs to ParviServicesoeverMM'e gov or drop off at 3200 Cedar Street 2nd Floc Drop Box CONTACT <br /> INFORMATION (P)425-257 88101(E)PermdServ1Ce%0everettwa gov I("everettwa gov/permds <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:215 110th PI SE Everett. Wa 98208 <br /> SITE WORK FOR PROJECT TYPE: rtSFR DETACHED 171TOWNHOUSE°DUPLEX OADU[IMULTI-FAMILY[]COMMERCIAL nINDUSTRIAL <br /> IF APPLICABLE: o LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC) <br /> IF APPLICABLE:o 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 STORMWATE-R DISCHARGES TO <br /> FT IN HEIGHT <br /> Combined Sewer <br /> *DRIVEWAY APRON/CURB CUT <br /> FT WIDE c Separated Storm Sewer <br /> X ASPHALT I CONCRETE PAVING - 1,428 SF "Direct Discharge to Snohomish River or Puget Sound <br /> 1,428 SF <br /> TRIGGERED REQUIREMENTS <br /> •RETAINING WALL/ROCKERY IN RIGHT-OF-WAY <br /> LF = MR2 Only n MR1-5❑MR1 9 <br /> o RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT QUANTITY OF PROPOSED HARD <br /> FT TOTAL HEIGHT <br /> SURFACES Proposed Roof Area SF <br /> 11 CLEARING GRADING/FILL/EXCAVATE <br /> CY Proposed Hardscape SF <br /> 13 CUT/BORE IN PAVEMENT(PARALLEL) Total New+Replaced SF <br /> LF <br /> o CUT/BORE IN PAVEMENT(NONPARALLEL) <br /> LF <br /> POLE WORK/AERIAL/OVERLASH <br /> LF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): <br /> CONTACT INFORMATION <br /> OWNER,,APPLICANT NAME:Manuel and Susan Eco <br /> OWNER/APP.MAILING ADDRESS:4710 Harbor Ln Everetgt Wa 98203 <br /> CITY STATE LP <br />