8102 EVERGREEN WAY EVERETT 4 CORNERS 2025-08-06

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 8102 and 7920 Evergreen Way SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU MULTI -FAMILY 7COMMERCIAL ❑INDUST IF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) 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: ❑ FENCE IN ROW FT IN HEIGHT ✓❑ DRIVEWAY APRON / CURB CUT 43, 40, 58, and 25 FT WIDE ❑✓ ASPHALT / CONCRETE PAVING 7,700 SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑ CLEARING / GRADING / FILL / EXCAVATE CY ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF ❑ POLE WORK / AERIAL / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): CONTACT INFORMATION OWNER / APPLICANT NAME: DevCo, LLC - Davide Ratliff OWNER / APP. MAILING ADDRESS: STREET 10900 NE 8th Street, Ste 1200 c,TY Bellevue STATE WA ZIP 98004 OWNER / APP. PHONE: (425) 453-9551 OWNER / APP. EMAIL: davld.ratliff@devcowa.Com CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR ✓❑ OTHER (Architect, Engineer, Etc.) Civil Engineer CONTACT NAME: CPH Consultatns -Matthew Hough, PE CONTACT PHONE: (425) 285-2390 CONTACT EMAIL: matt@cphconsultants.com 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 1 am authorized by the owner of this property to perform the work for which 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 # PW (Revised 1/52017)