2801 35TH AVE NE 2025-04-07 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EV E R E T T SUBMITTAL INSTRUCTIONS:Email application 8 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:xxx 35th Ave NE(Tax Parcel 29050500401000) SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY BCOMMERCIAL ❑INDUSTRIAL IF APPLICABLE: @ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.)REVI23-044SMA&REV1123-011 SEPA 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 20 FT WIDE ❑Combined Sewer 8 ASPHALT/CONCRETE PAVING 31,620 SF ❑ Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF 8 Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: R CLEARING/GRADING/FILL/EXCAVATE 2,100 CY ❑ MR2 Only ❑MR1-5 it MR1-9 ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area:0 SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:31,620 SF ADDITIONAL DESCRIPTION (AS NEEDED): ITotal New+Replaced:31,620 SF Site grading for a new access from 35th Avenue NE and grading, storm drainage and paving for an open air storage area. CONTACT INFORMATION OWNER/APPLICANT NAME:Mina Investment Holdings, LLC OWNER/APP. MAILING ADDRESS: STREET 1418 Market St CITY Kirkland STATE WA ZIP 98033 OWNER/APP.PHONE:206-783-3100 OWNER I APP.EMAIL:hadi@minainvestmentholdings.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: Sea Con LLC CONTRACTOR ADDRESS: STREET 165 NE Juniper Street,Suite 100 CITY Issaquah STATE WA z,P 98027 CONTRACTOR PHONE:425-837-9720 CONTRACTOR EMAIL:Jpower@seaconllc.com CONTRACTOR LICENSE#(REQUIRED):SEACOL"012R7 EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER /APPLICANT ❑ CONTRACTOR ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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.I 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 _ 51 1 IPERMIT# 7nZ 3 PW Owner/Authorized Agent Signature Date (Revised 412112022)