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ui6r E T T <br />D APPROVED <br />EVERETT PUBLIC WORKS DEP RT ENT <br />DEC 0 7 2023 By <br />WASHINGTON <br />CITY OF EVERETT Dare <br />CITY OF EVERETT R REVIEVIE <br />WED FOR PERMIT <br />Permit Services <br />Small Project Stormwater Site Plan/Report for <br />projects in the Combined Sewer Area <br />This Small Project Stormwater Site Plan and Report provides a simplified template to assist small projects in <br />meeting the City of Everett's stormwater requirements in the combined sewer area, per the City's Design <br />and Development Standards and Specifications (DCSS). <br />Ifyou choose to use this template, you are agreeing to construct, operate and maintain the Best Management <br />Practices (BMPs) selected for your project as required to meet City Standards. Alternatively, you may <br />choose to hire a professional or submit your own Stormwater Report (report and drawings) that meets <br />the minimum standards described in the DCSS. <br />Project name: Living room Addition <br />Project address: 1626 Baker Ave. Everet4l Permit number: B2303-043 <br />Owner name: Catharina E. Teunisse <br />Owner mailing address: PO Box 794 Lynnwood, WA. 98046 <br />Owner phone: 4252454748 I Owner email: teunisse@comcast.net <br />Applicant name: Catharina E. Teunisse <br />Applicant mailing address: PO Box 794 Lynnwood, WA. 98046 <br />Applicant phone: 4252454748 <br />Applicantemail: teunisse@comcast.net <br />Primary contact: 0 Owner []Applicant ❑ Other (architect, engineer, etc.): <br />Primary contact name: <br />Catharina E. Teunisse <br />Primary contact phone: 4252454748 <br />Primary contact email: teunisse@comcast.net <br />Reportprepared by: Date: <br />