8811 AIRPORT RD 2019-01-02 - Laserfiche WebLink

(P) 425-257-8810 PUL�LIC WORKS PERMIT A�LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS: 8811 P,irport Road 98204 - Kasch Memorial Park IF APPLICABLE: ❑ LAND USE PROJECT #(SEPA, PRE-APP, SS, ETC.) SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? � NO ❑ YES, FROM TO NEW WATER / SEWER SERVICE NEEDED? � NO ❑ YES, TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTIONOFWORK: Replacement of synthetic surfacing at soccer fields 2 ar Reblacement in whole sports field liahtina, ADA access to fields, combined fence and nettincr between fields � FENCE IN ROW 10' metal mesh with 2 0' nettinc( FT IN HEIGHT 3 0' total height ❑ DRIVEWAY APRON / CURB CUT FT WIDE � ASPHALT / CONCRETE PAVING 1, 7 7 5 impervious SF 7, 5 0 0 S f pervious ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY L� �� (�Q Cl(�� i�.— l�lY^� ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT �J -p,, ^G , ❑ CLEARING / GRADING / FILL ! EXCAVATE CY ��1 ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE IN PAVEMENT (NON-PARALLEL) LF CONTACT INFORMATION OWNERNAME: City of Everett Parks and R.ecreation OWNERMAILINGADDRESS: sTReET 802 E MukiltP_O Blvd cirr EVP_Yett sTnTE WA ZiP 98203 OWNER PHONE: 4 2 5- 2 5 7- 8 3 0 0 OWNER EMAIL: APPLICANT NAME: Russel_1 Dance APPLICANTMAILINGADDRESS: srREEr 802 E Mukilteo Blvd cin Eve r'e t t STATE WA ZiP 9 8 2 0 3 APPLICANT PHONE: 4 2 5- 2 5 7- 7 3 3 5 APPLICANT EMAIL: rdance@evere ttwa . gov PRIMARY CONTACT: ❑ OWNER l� APPLICANT ❑ OTHER (Architect, Engineer, Etc.) CONTACTNAME:Russell Dance CONTACTPHONE: 425-257-7335 CONTACT EMAIL: rdance@everettwa . gov ACKNOWLEDGEMENT: 1 have revfewed this application and contirm the intormation conta�ned herein is true and correct. work tlone 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. 1 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 # .v�.---� ,- �� PwI�� -o �. ��.� - � _�-�.._.�..r�� =� _--��-_ �� .r _ � J, S ,� j� � OwnerlAuthorized Agent S'rgnature % Date ; (Revised 10/12/2015)