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ENVIRONMENTAL CHECKLIST <br />A. BACKGROUND <br />1. Name of proposed project, if applicable: Providence Regional Medical Center Everett— North Site <br />2. Name of applicant: Providence Regional Medical Center- Everett <br />3. Address and phone number of applicant and contact person: <br />Applicant Contact: Providence Regional Medical Center <br />Attn: Michael Gaffney <br />1321 Colby Avenue <br />Everett, WA 98201 <br />Phone: (425) 261-4033 <br />Email: michael.gaffney@providence.org <br />Environmental/Permitting Consultant: <br />Architect Contact: <br />Shockey Planning Group, Inc. <br />Attn: Camie Anderson <br />2716 Colby Avenue <br />Everett, WA 98201 <br />Phone: (425) 258-9308 <br />Email: cnderson@shockeyplanning.com <br />ZGF Architects LLP <br />Attn: Victoria Nichols <br />925 Fourth Avenue, Suite 2400 <br />Seattle, WA 98104 <br />Phone: (206) 521-3508 <br />Email: Victoria.nichols@zg£com <br />Civil Engineer: Magnusson Klemencic Associates <br />Attn: Rita Greene / Carly McArdle <br />1301 Fifth Avenue, Suite 3200 <br />Seattle, WA 98101-2699 <br />Phone: (206) 292-1200 <br />rgreene@mka.com <br />4. Date checklist prepared: April 18, 2016 <br />5. Agency requesting checklist: The City of Everett Planning and Community Development is the agency <br />with permit authority and is Lead Agency for environmental review and SEPA compliance. <br />6. Proposed timing or schedule (including phasing, if applicable): <br />The proposed project would commence as soon as possible after approval by the City. The parking lot <br />would be relocated first, and then the new medical clinic would be constructed. <br />7. Do you have any plans for future additions, expansion, or further activity related to or connected <br />with this proposal? If yes, explain. <br />Environmental Checklist — Providence Regional Medical Center Everett — North Site Page 1 <br />© tiHOC�IiEY <br />