1616 E MARINE VIEW DR 2017-06-21

PUBLIC WORKS PERMIT APPLICATION Ey 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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1616 East Marine View Drive, Everett, WA 98201 IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)Not Applicable SITE WORK FOR PROJECT TYPE:E]SFR-DETACHED ❑SFR-ATTACH ED [--]DUPLEX ❑MULTI-FAMILY VICOMMERCIAL ❑INDUSTRIAL CHANGE OF USE? lZ1 NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO ❑ YES,TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Complete six environmental test borings within East Marine View Drive in front of 1616 East Marine View Drive to assess extent of perceived petroleum soil and perched groundwater contamination that migrated from 1616 East Marine View Drive. ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF i g ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT Ji U 9 ❑ CLEARING/GRADING/FILL/EXCAVATE CY CITY nE EVE R F T T ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF CUT/BORE IN PAVEMENT(NON-PARALLEL) 30 LF CONTACT INFORMATION OWNER NAME: DevCo, Inc. (David Ratliff) OWNER MAILING ADDRESS: STREET 10900 NE 8th Street, Suite 1200 c7y Bellevue STATE WA zip 98004 OWNER PHONE: (425) 233-6444 OWNER EMAIL: david.ratliff@devcowa.com APPLICANT NAME: Earth Solutions NW, LLC (Ted W. Sykes) APPLICANT MAILING ADDRESS: STREET 1805 - 136th Place NE, Suite 201 ciTv Bellevue STATE WA zip 98005 APPLICANT PHONE: (425)449-4704 APPLICANT EMAIL: PRIMARY CONTACT: ❑ OWNER ❑APPLICANT �] OTHER(Architect, Engineer, Etc.) Environmental Consultant CONTACT NAME: CONTACT PHONE: (206)793-1691 Ted W. Sykes CONTACT EMAIL: ted.sykes@earthsolutionsnw.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 I 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# 5_/�/1-7 Owner/Authorized Agent Sign a Da (Revised 9/23/2016)