2402 37TH ST 2025-03-26 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I https:Heverettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:37th Street and Smith Avenue SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: Ll LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) EPPLI CABLE: ElFRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB M JOB# DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑FENCE IN ROW NA FT IN HEIGHT STORMWATER DISCHARGES TO: ❑DRIVEWAY APRON/CURB CUT NA FT WIDE r❑ Combined Sewer ❑ASPHALT/CONCRETE PAVING NA SF ❑ Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY NA LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT NA FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: s❑ CLEARING/GRADING/FILL/EXCAVATE 0 CY ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) NA LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) NA LF Proposed Roof Area:2,000 SF ❑ POLE WORK/AERIAL/OVERLASH NA LF Proposed Hardscape:1,500 SF ADDITIONAL DESCRIPTION (AS NEEDED): ITotal New+Replaced:3,500 SF This proiect will install elctrical services and place 20 temporary 64 pallet housinq units. There will also be a 400 sf gatherinq room, 2 office units, and 2 bathroom units. 1,500sf of gravel area will be paved as walkways as well. CONTACT INFORMATION OWNER/APPLICANT NAME:Grant Moen OWNER/APP. MAILING ADDRESS: STIEET3200 Cedar Street CITY Everett STATE VV`/�, A ZIP 98012 OWNER/APP. PHONE:425 257 8947 OWNER/APP. EMAIL:gmoen@everettwa.gov `Required for Work in Public Right-of-Way CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): I EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: F11 OWNER /APPLICANT ❑ CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:425 257 8947 Grant Moen CONTACT EMAIL:gmoen@everettwa.gov 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 I 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 PERMIT# PW Owner/Authorized Agent Signature Date (Revised 1172019)