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0 • <br /> PUBLIC WORKS PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OOL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> (PROJECT ADDRESS: 3003 W Casino Rd (Fuel Stall F2) <br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) N/A <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL MINDUSTRIAL <br /> CHANGE OF USE? IX NO ❑YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? [X NO ❑YES.TYPE SIZE <br /> SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Install ten (10) fuel bladders for temporary above-ground fuel storage in fuel stall #F2. <br /> Each bladder is 46' x 30' x 5' and has a storage capacity of 50,000 gallons. The bladders will be in place for <br /> approximately five months. Secondary spill containment will be provided via existing trenches and oil/water separato <br /> ❑ FENCE IN ROW FT IN HEIGHT <br /> ❑ DRIVEWAY APRON/CURB CUT FT WIDE FY <br /> ❑ASPHALT/CONCRETE PAVING SF D `( � IDE <br /> El RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> 1:1RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHTAUG 04 2016 <br /> ❑ CLEARING/GRADING/FILL/EXCAVATE CY C I TY O F EVERETT <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF Permit Services <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: The Boeing Co. <br /> OWNER MAILING ADDRESS: STREET P.O. Box 3707, MC OH-13 <br /> CITY Seatttle STATE WA ZIP 98124-2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> APPLICANT NAME: same as owner <br /> APPLICANT MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> APPLICANT PHONE: APPLICANT EMAIL: <br /> PRIMARY CONTACT: ❑ OWNER gAPPLICANT ❑ OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: CONTACT PHONE: 425-239-7983 <br /> Dave Tyler CONTACT EMAIL: david.d.tyler@boeing.com <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must <br /> 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 <br /> 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 <br /> perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> !� i6 P W <br /> Owner/Authorized Agent ignature Date (Revised 10/12/2015) <br />