3618 W MUKILTEO BLVD 2025-06-17 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EV E R E T T SUBMITTAL INSTRUCTIONS: Email application & 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 l (W) everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:3710/3702/3618 West Mulkilteo Blvd, Everett WA SITE WORK FOR PROJECT TYPE: BSFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY ❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: INLAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) REV1122-001 IF APPLICABLE: ❑FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT # UTILITY COMPANY'S NAME & JOB M JOB M DESCRIPTION OF SITE WORK I RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: ❑ FENCE IN ROW 0 FT IN HEIGHT 8 DRIVEWAY APRON I CURB CUT 31 FT WIDE 8 ASPHALT / CONCRETE PAVING 3385 SF R RETAINING WALL / ROCKERY IN RIGHT-OF-WAY 0 LF 8 RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT 0 FT TOTAL HEIGHT ❑ CLEARING I GRADING / FILL I EXCAVATE CY B CUT/BORE IN PAVEMENT (PARALLEL) 345 LF 8 CUT/BORE IN PAVEMENT (NON -PARALLEL) 75 LF ❑ POLE WORK / AERIAL / OVERLASH 0 LF ADDITIONAL DESCRIPTION AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STORMWATER DISCHARGES TO: ❑ Combined Sewer Separated Storm Sewer ❑ Direct Discharge to Snohomish River or Puget Sound TRIGGERED REQUIREMENTS: ❑ MR2 Only ❑ MR1-5 0 MR1-9 QUANTITY OF PROPOSED HARD SURFACES: Proposed Roof Area:0 SF Proposed Hardscape:_ SF Total New+ Replaced: 3385 SF Frontage improvements, and water and sewer connections to existing systems located in W Mukilteo Blvd. CONTACT INFORMATION OWNER / APPLICANT NAME: Al Torrico, Sage Homes OWNER / APP. MAILING ADDRESS: STREET 9505 19th Ave SE, Suite 118 CITY Everett STATE WA ZIP 98208 OWNER I APP. PHONE: 425.221.1342 OWNER / APP. EMAIL: al@sagehomesnw.com 'Required for Work in Public Right -of -Way CONTRACTOR NAME: dv,� CONTRACTOR ADDRESS: STREET CITY STATE CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: [OWNER / APPLICANT ❑ CONTRACTOR ❑ OTHER (Architect, Engineer, Etc.) CONTACT NAME: T CONTACT PHONE: JQ=� ICONTACT EMAIL: e fachomtey1w,M ACKNOWLED EMENT: t ave reviewed this application and confirm the information contained herein;rtrue and correct. Work done pursuant to this permit must comply with c ",.,Mf er state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be alithonzed n ri[rng m [ e Building Official before being authorized under any circumstance. I am the owner, or I am authorized by the owner of this property to perform [ e ork f i 1 application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT CAW. J_ PW Ownerl ut ey 4gent Signature I W9, (Revised 412112022)