3322 BROADWAY COMPASS HEALTH 2025-10-03

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3322 Broadway, Everett, WA 98201 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU []MULTI -FAMILY ✓❑COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑✓ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) REV1121-027 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 FT WIDE ❑ ASPHALT / CONCRETE PAVING 14,910 SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ✓❑ CLEARING / GRADING / FILL / EXCAVATE 1,500 CY ❑✓ CUT/BORE IN PAVEMENT (PARALLEL) 70 LF ✓❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) 80 LF ❑ POLE WORK / AERIAL / OVERLASH 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 ❑✓ MR1-9 QUANTITY OF PROPOSED HARD SURFACES: Proposed Roof Area: 26,290 SF Proposed Hardscape: 36,950 SF Total New+ Replaced: 63,240 SF Retaining walls will be part of building foundation. Three driveway aprons will be removed. The area of Ph 3 to the south will be stablized with crushed material (counting as impervious). CONTACT INFORMATION OWNER / APPLICANT NAME: Compass Health - Tom Sebastian PresidenUCEO OWNER / APP. MAILING ADDRESS: STREET4526 Federal Ave. CITY Everett STATE WA Z,p 98203 OWNER / APP. PHONE: OWNER / APP. EMAIL: 'Required for Work in Public Right -of -Way CONTRACTOR NAME: BNBuIIderS Inc. CONTRACTOR ADDRESS: sTReeT2601 Fourth Ave., Suite 350 CITY Seattle STATE WA ZIP 98121 CONTRACTOR PHONE: (206) 382-3443 CONTRACTOR EMAIL: mark.ronish@bnbuilders.com CONTRACTOR LICENSE #(REQUIRED): BNBUII'990K3 EVERETT BUSINESS LICENSE #(REQUIRED): 43638 PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR ❑✓ OTHER (Architect, Engineer, Etc.) Ankrom Molsan Amhilecls CONTACT NAME: Scott Hopkins CONTACT PHONE: (805) 450-3769 CONTACT EMAIL: scotth@ankrommoisan.com ACKNOWLEDGEMENT: 1 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # Scott Hopkins` 3.2.2022 Ipw Elo Owner/Authorized Agent Signature Date (Revised 1172019)