8204 BEVERLY LN 2025-03-24 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS:Email application&submittal documents to PermitServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:8204 Beverly Ln, Everett, WA 98203 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) 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: ❑ FENCE IN ROW FT IN HEIGHT STORMWA TER 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/EXCAVATE CY ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: @ CUT/BORE IN PAVEMENT(NON-PARALLEL) 1.3 LF Proposed Roof Area: SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION (AS NEEDED): ITotal New+Replaced: SF One geotechnical soil boring, planned to be 100 feet deep. Approximate boring location is 80 feet east of nearest address listed above, at the end of Beverly Lane. CONTACT INFORMATION OWNER/APPLICANT NAME:Reeve Geary for Sound Transit OWNER/APP. MAILING ADDRESS: STREET401 S Jackson Street CITY Seattle STATE WA ZIP 98104 OWNER/APP. PHONE:206-717-9175 OWNER I APP. EMAIL:reeve.geary@soundtransit.org `Required for Work in Public Right-of-Way CONTRACTOR NAME: Shannon &Wilson, Inc. CONTRACTOR ADDRESS: STIEET400 N 34th St, Suite 100 CITY Seattle STATE WA ZIP 98103 CONTRACTOR PHONE:(206) 632-8020 CONTRACTOR EMAIL:Info-Seattle@shanWll.com CONTRACTOR LICENSE#(REQUIRED):SHANNW*378N0 EVERETT BUSINESS LICENSE#(REQUIRED): 19537 PRIMARY CONTACT: ❑ OWNER /APPLICANT @ CONTRACTOR ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:(206)695-6915 Tyler Stephens CONTACT EMAIL:Tyler.Stephens@shanwil.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. 1 am the owner,or l am authorized by the owner of this property to perform the work for which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 0429/2024 PW# Owner/Authorized Agent Signature Date (Revised 412112022)