6708 CADY RD 2025-03-31 - Laserfiche WebLink

PUBLIC WORKS PERM IT APPLICATIO N CITY O FEVERETT PERM R SERVICES EV E R E T T SUBM IrTAL INSTRUCTIO NS:Em JI application&subm ttal docum efts to Perm tServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WAS H I N G TO N CO NrACT INFO IN ATIO N(P)425-257-8810 1(E)Perm tServices@everettwa.gov I(W)everettwa.gov/perm is PRO.ECTSITE INFORMAION PROJECT ADDRESS:6708 Cady Road SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TO W NHO LSE ❑DUPLEX ❑ADU ❑M LLTI-FAM LY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PRO ECT#(SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: ❑FRANCHISE/UTILITY CO M FANY,ANNUAL BLANKET PERM IT# UTILITY CO M 6ANY'S NAM E&JO B#: JO B#: D ESC R PTIO N O F SITE WORK / R IG H TO F•W A YWORK FILL IN ALL Q LANTITIES O FWORK BELOW AS APPLICABLE: DRAINAG EM ITIG ATIO NQ LESTIO NS: ❑ FENCE IN ROW FT IN HEIG HT S TO RW WATER DISCHARG ES TO: ❑ DRIVEWAY APRO N/CURB CUT FT WIDE ❑ Corn Lined Sewer @ ASPHALT/CO I-RETE PAVING 1,210 SF ❑ Separated Storm Sewer ❑ RETAINING WALL/RO CKERY IN RIG HT-O F WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/RO o(ERY O\,ER 4FT IN HEIG HT FT TO TAL HEIG HT T RIG G ff2ED REQ UREMENTS: R CLEARING/G RP,DING/FILL/EXCAVATE 250 CY ❑ M R2 O dy ❑ M R1-5 ❑ M R1-9 ❑ CUT/BO IF- IN PAVEMENT(PARALLEL) LF Q UANTITY O FPRO FO ED HARD SURFACES: ❑ CUT/BO IF- IN PAVEM ENT(NO I-PARALLEL) LF Proposed Roof Area:1,100 (tem p.) SF ❑ PO LE WORK/AERIAL/O bERLASH LF Proposed Hardscape:4,675 SF ADDITIO ML DESCRIPTIO N(AS NEEDED): Total New+Replaced:5,885 SF Scope of work is to corn Pete the necessary site work to place eight tern porary Pallet shelters to accom m date eight [I lies, two Min pulaily Pallet lestroolin S, and One Min pulaily Pallet laundiy Unit. The shelteis will be CON'ACTINFORMAION O W HER/APPLICANT NAM E Interfaith Fam ly Shelter O W HER/APP. M AILING ADDRESS: STREETPO BOX 12824 A CITY Everett V V STATE ZIP 98206 W O W HER/APP. PHO WAII35.252.6672 ER/APP. EMPIL:JDean@Interfaithwa.org `Required for Work in Public Right-of-Way CO NrRACTO RNAM E TBD CO NrRACTO RADDRESS: STREET CITY STATE ZIP CO NrRACTO RPHO NE: CO NrRACTO REM AIL: CO NrRACTO RLICENSE#(REQ URED): EVERETT BUSINESS LICENSE#(REQ URED): PRIM ARY CO NrACT: ❑ O W PER /APPLICANT ❑ CO NTRACTO R @ O-HER(Architect, Engineer, Etc.) Architect CO NrACT NAME:Phil Frisk CO NTACT PHO N=:206.920.3554 CO NrACT EMAIL:Phil.Frisk@PWFArchitecture.com ACKNO W EDGEM ENT.•I have reviewed this application and confirm the inform cation contained herein is true and correct. Work done pursuant to this perm t m ust com#y with current federal,state,and local law. The granting of a perm t only authorizes approved work and no deviations therefrom.Deviations m ust first be authorized in writing from the Building O flcial before being authorized under any circum stance. I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is m ade,and I com py with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett O ficial Use O dy Phil Frisk 7/31 /23 PERMPW IT# 0 w ler/Authorized Agent Signature D ate (Revised 412112022)