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PU _IC WORKS PERMIT A 'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I https://everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:7100 Hardeson Road <br /> SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ['DUPLEX ❑ADU EMULTI-FAMILY ['COMMERCIAL ['INDUSTRIAL <br /> IF APPLICABLE: LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)N/A <br /> IF APPLICABLE: ❑ 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 FT IN HEIGHT STORMWATER DISCHARGES TO: <br /> ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑ Combined Sewer <br /> ❑✓ ASPHALT/CONCRETE PAVING 139,160 SF ❑ Separated Storm Sewer <br /> ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: <br /> ✓❑CLEARING/GRADING/FILL/EXCAVATE 10000 CY ❑ MR2 Only ❑ MR1-5 ❑✓ MR1-9 <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: <br /> ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area:20,235 SF <br /> ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: 139,160 SF <br /> ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced: 159'395 SF <br /> This Project is expansion of a bus maintenance building, relocation and extension of associated utils., <br /> pavement replacement, and storm drainage upgrade. Storm discharges to Merrill Creek. <br /> CONTACT INFORMATION <br /> OWNER I APPLICANT NAME:Community Transit, Larry Daubenmire, Project Mgr. <br /> OWNER I APP. MAILING ADDRESS: STREET 7100 Hardeson Road <br /> CITY Everett STATE WA zip 98203 <br /> OWNER/APP. PHONE:(425)348-2393 OWNER/APP. EMAIL:larry.daubenmire@commtrans.org <br /> `Required for Work in Public - .ht-e-Way <br /> CONTRACTOR NAME: T.f'�' Cam_. <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> V )'"d <br /> CONTRACTOR LICENSE#(REQUIRED): —( �.0 U QV' EVERETT BUSINESS LICENSE#(REQUIRED):5ti 30\ <br /> PRIMARY CONTACT: ❑ OWNER /APPLICANT ❑ CONTRACTOR ❑✓ OTHER(Architect, Engineer, Etc.) Dykeman.Inc. <br /> CONTACT NAME: CONTACT PHONE:T 425.259.3161, C 425.293.9983 <br /> Ke I I i Smith CONTACT EMAIL:kellis@dykeman.net <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <br /> 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 <br /> authorized in writing from the Building Official before being authorized under any circumstance. I am the owner,or I am authorized by the owner of this property to <br /> perform the work for which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ��. 24,74 PW <br /> Owner/Authorized Agent Signature Date (Revised 1/72019) <br />