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CITY of EVERETT <br /> PLANNING and COMMUNITY DEVELOPMENT <br /> PRE-APPLICATION MEETING REQUEST FORM (FEE: $500) <br /> Except for minor land use decisions, all projects are required to participate in a pre-application meeting.The Applicant can <br /> explain the proposal and find out on a preliminary basis the departments involved,the process and key regulations/issues. <br /> The meeting will not provide an exhaustive review of all potential issues, and will not result in formal decisions. After <br /> submittal, a meeting will be scheduled within a few days and you will be contacted with a date and time. <br /> -SUBMIT:The Pre-App Meeting Request Form, 17 folded site plans (include prelim landscape plan), 6 elevations. For <br /> multi-family projects or in the B-3, BMU,C-2ES, E-1 or MUO zone, submit an additional 3 site plans and 3 elevations. 11" x <br /> 17" is preferable if to scale and legible.After submitting(see bottom of form), email the plans to planning@everettwa.gov. <br /> Meeting Location: Public Works Dept-Permit Services Counter,3200 Cedar St,2nd F! -Fauver Conference Room I <br /> Meeting Date: Jed/A e/20/,G Time:lO'(2att or Project: <br /> Project Planner: 1)01 t NI I 14'1er50✓L- Phone: VzS 2s57- 2 737 PREAPP# I o ' ©e, (p <br /> Distribution List: <br /> Fire Jim Venturo(site plan&elev) <br /> Parks Paul Kaftanski(site plan) OECHWE <br /> Police Eddie Golden(site plan&elev) r' <br /> Public Works Tony Lee(11 site plans&2 elev) <br /> Primary Contact (cover only) FEB 1 8 2015 <br /> Long Range Mary Cunningham(site plan&elev) <br /> PUD Richard Lothamer/Tom Hovde/John Petosa(cover only) <br /> Econ.Dev. Lanie McMullin(cover only) CITY OF EVERETT <br /> Planner's File (cover,2 site plans&elev) Planning Dept. <br /> D.Review Team TBD(3 site plans&3 elev) <br /> Pre-App Waiver Approved By: Date: Fee: Receipt#: <br /> Attn: Michael Gaffney <br /> Applicant Providence Regional Medical Center Phone 425-261-4033 <br /> Address 1321 Colby Avenue City Everett State WA Zip Code 98201 <br /> Email michael.gaffney@providence.org Alt ph <br /> Primary Contact Shockey Planning Group, Inc. Attn: Reid Shockey Phone 425-258-9308 <br /> Address 2716 Colby Avenue City Everett State WA Zip Code 98201 <br /> Email rshockey@shockeyplanning.com Alt ph <br /> Project Address 1815 13th Street Tax Parcel No(s) 29051700211300 <br /> New � CVv <br /> Proposed Use parking lot/niveIlical office bldg E:cisting S.F. Proposed S.F. 37,000Total S.F. __ <br /> Proposed No. of Dwelling Units 0 Total No.of Dwelling Units 0 Type of Construction N/A <br /> Occupancy Group N/A Occupant Load N/A Zoning R-21 Comprehensive Plan Designation 2.4 <br /> Description of Project(attach if necessary) See attachment <br /> Authorization: I am the owner or am authorized by the owner to sign and submit this request. I grant permission for City staff and agents to enter <br /> onto the subject property for the sole purpose of making any inspections of the property which are necessary to process this request. I certify under <br /> penalty of perjury of the laws of the State of Washington that the information on this application and all information submitted herewith is true, <br /> complete,and irect. <br /> Signature ✓V` Date 2/ l 5 <br /> Please print name A(YA, 14K-»L,QA OA 2 ❑Owner DApplicant El-Pfimary Contact <br /> City and State where this application was signed Everett, Washington <br /> Submit Application to the Permit Services Counter or by mail to: Attn: Pre-App Submital <br /> 3200 Cedar St,2"d FI,Everett,WA 98201•425.257.8810•M-F 874 closed 12-1•www.everettwa.org•Updated August 2015 <br />