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PUBLIC WORKS PERMIT APPLICATION <br /> .. - CITY OF EVERETT PERMIT SERVICES <br /> 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: 80TH ST SW& HARDESON ROAD <br /> IF APPLICABLE: ID LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.)SEPA: 16-001 <br /> SITE WORK FOR PROJECT TYPE:0 SFR-DETACHED EISFR-ATTACHED E1DUPLEX OMULTI-FAMILY IgICOMMERCIAL EIINDUSTRIAL <br /> CHANGE OF USE? ID NO 0 YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? 0 NO K4 YES,TYPE FIRE LOOP&SIDE SEWER SIZE 2" <br /> SITE WORK/RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: SITE DEVELOPEMENT FOR AN INDUSTRIAL BUILDING TO INCLUDE PARKING, <br /> ACCESS ROADS, NEW WATER MAIN LOOP AROUND BUILDING, SEWER,AND A STORMWATER <br /> ,CONVEYANCE SYSTEM TO A COMBINED WATER QUALITY DETENTION POND. <br /> 0 FENCE IN ROW FT IN HEIGHT <br /> ci DRIVEWAY APRON/CURB CUT 50.8', 23.8', 12.0' FT WIDE <br /> 14 ASPHALT/CONCRETE PAVING 209,892 SF <br /> — <br /> ID RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> 14 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT 630 LF, 20'Max. Ht.FT TOTAL HEIGHT <br /> .: CLEARING/GRADING/FILL/EXCAVATE 23,900 (CUT) CY <br /> 0 CUT/BORE IN PAVEMENT(PARALLEL) 130 LF <br /> :4 CUT/BORE IN PAVEMENT(NON-PARALLEL) 30 LF <br /> CONTACT INFORMATION <br /> OWNER NAME:MTORRES AMERICA(PACIFICA ENGINEERING, INC.,) CONTACT: MICHAEL KINGSLEY <br /> OWNER MAILING ADDRESS: STREET 21530 30TH DRIVE S.E., SUITE 210 <br /> cry BOTHELL _ STATE WA zip 98021 <br /> OWNER PHONE:425-984-2700 Ext. 118 OWNER EMAIL:MKINGSLEY@MTORRESAMERICA.COM <br /> APPLICANT NAME:MTORRES AMERICA(PACIFICA ENGINEERING, INC.,)CONTACT: MICHAEL KINGSLEY <br /> APPLICANT MAILING ADDRESS: STREET 21530 30TH DRIVE S.E,, SUITE 210 <br /> coy BOTHELL STATE WA ZIP 98021 <br /> APPLICANT PHONE:425-984-2700 Ext. 118 APPLICANT EmAIL:MKINGSLEY(WTORRESAMERICA.COM <br /> PRIMARY CONTACT: DOWNER 0 APPLICANT IE OTHER(Architect.Engineer,Etc.) CIVIL ENGINEER <br /> CONTACT NAME: CONTACT PHONE:360-790-2312 <br /> JARED VERHEY <br /> CONTACT EMAIL:JVERHEY@PACLAND.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 Me Building Official before being authorized under any circumstance.I am the owner,or 1 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 ROW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 7 (1 PERMIT 4 <br /> pw/663- 050 <br /> 71,///, <br /> Own tA'h nzed Agent Signature <br /> i Affeatte- <br /> 7 Date (Revised 10/12/2015) <br />