404 14TH ST BASE FILE 2017-10-25

P LIC WORKS PERMIT APILICATION 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: Adjacent to 404 14th Street IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP,SS, ETC.) NIA SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY [gCOMMERCIAL ❑INDUSTRIAL CHANGE OF USE? IM NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? M NO ❑YES,TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Pave approximately 3,600 SF of existing gravel area with temporary asphalt to accomodate accessibility for Farmer's Market patrons. Project is on Port of Everett property. Stormwater drainage pattern will not change and will continue to drain south to existing catch basin. ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE X]ASPHALT/CONCRETE PAVING 3,600 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 CONTACT INFORMATION OWNER NAME: I'Orr of Evereii G10: Laura l uriey OWNER MAILING ADDRESS: STREET 1205 Craftsman Way, Suite 200 CITY Everett STATE WA Z,E 98201 OWNER PHONE: 425-388-0720 1OWNER EMAIL: LauraG@portofeverett.com APPLICANT NAME: Laura Gurley APPLICANT MAILING ADDRESS: STREET same as above CITY STATE ZIP APPLICANT PHONE: same APPLICANT EMAIL: same PRIMARY CONTACT: ❑OWNER X:I APPLICANT ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 425-388-0720 Laura Gurley CONTACT EMAIL: LauraG@portofeverett.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 113.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# PW rl Owner/Authorized Agent Signature Date (Revised 10/1272015)