4920 EVERGREEN WAY BASE FILE 2018-05-17

PUB�f� W��KS �ERMI�T r4Pf�LICAT16J1N CITY OF EVERETT PERMIT SERVICES 320Q CEDAR STREET, EVEREFT,WA 9820i (P)�25-257-881fl ( FAX 425-257-8857 � (E}everetteps@everettwa.gov� www.evereitwa.gov/permits .. ... . . .... .... . , , , ... . .. . . .. .... .... .. ... . .. . e . PRGJECT SiTE 1NF�RMATION , .: . PROJECt AbDFtESS: 4900 b ack Glacier La e(focation approximately 400 to 5D0 feet sautf�ofi 5Q#h Str`eet SE IF APPI.1CABi.E: Cl LAND USE PRdJECT#(SEPA,PRE-APP,SS,ETC.) StTE WORK POR PROJ�CT TYPE:OSFR-DETACHED CJSF#2-ATTACHED CIDUPLEX �MUL71-FAhA1LY �COtu1MERCIAL L�IINDUSTWAL GHANGE QF USE? �NO ❑YES, FFtOM TO NEW WATER!SEWER SERYECE NEEQED? CI NO ❑YES,TYPE SlZE ,:.•. ... .:.... :.:... . .... ... .. ... ,.,,,: :� .:,;:;:.::.,•..:<SITE WORK 1 RIGHT-O�-WAY APP.LIC/#TION,�NFORMAT:ION...;..._.:.`•.',::';:.:,:.:•,:..::.::•.:.:•.:.:;, DESCRIPTION OF WQRK: DrIIll�lg test borings for emergency roadwaylrockery stabilization in City of Everett G[acier Lane Ri t of Way. Location on east side of street �PENCE IN ROW Ff IN HEIGH7 �flRtVEWAY APRON!CURB CUT Fl"WI€?E ❑ASPHALT J CONGRETE i'AV1NG 1 5F O RETAINftdG WALL!RQCKERY IN FtIG�IT-O�-WAY LF ❑RE7AINING WALL/ROGK�F2Y flVEF�4P1'IN HEIGHT FT TOTAL H�iGHT 0 CLEARING!GRADING 1 FfLL 1 EXCAVATE GY 0 CUTBORE IN PAVEMENT(PARALLEL) LF 1�CUTlBOFtE!N PAVEM�M1lT(NON-PARAI.LEt) 1 �� , : . ..... . .... . ,., CONTACT lNFORMATION .. ` ..': .. .::..: .. : . .'.:�.,:......, ...,. ., ., .: OWNER NAME: Terracvn OWNER M{UI.ING ADDRESS; sna�r 2�g05 64th Avenue West om, Mauntlake Terrace srn,E WA Z,r 98fl43 OWM�R RHONE: OWNER EMA1L: APPLICANT NAME: Brian Christianson {Terracon) APPLtCANT MAILING ADDRESS: s�u�r 21905 64th Avenue West cirr MounU�ke Tertd�e 5TA?E WA rP 98fl43 APPUCANT PHONE: 425-774-3344 ApPL1CAN1'EMAiL: brian.chr'sstianson@terracfln.com PRIMARY COI�lTACT: CI OWNER �(.7 APPLICANT �i OTHER(Architect,EngineEr,Etc.} Consuftinq Firm-Terracon CONTACT NAME: COAtTACT PHQNE: 425-218-7486 Brian Christianson CaNTACTEMAIL: �rian.christianson@terracon.com ACKNOtNLE1}G�MENT:f have raviswed this appflcation and cpnfirm fhe fnformafion confained herein is fr�e and comecf. Work done pursuanf to this psrmit musf compty wlth currer�f federal,state,and locaf law.The granting of a permit onty authorizes approved work and no devlativns therefrom.Deviations must frrst be authorized in wrifing from the Buildirrg�ciaJ before being authorized undar any afrcumstance.!am the owner,ar!am authorized by fhe owner of this properfy fo perform fhe work for which apptication is made,snd I comply with the Stafe Confractors Law 18.27 RCW and 296.200A WAC. Cfty of Everett�cia1 Use Only PERMIT# � ,y. ;' - __... l� �� P11V ��(2-'�2� rlApthorized snt Signffiure �ate � (ReVised 9/23/2018}