801 E CASINO RD 2019-02-01 - Laserfiche WebLink

! _ 477 PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 801 E Casino Rd, Everett, WA 98203 IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS, ETC.) SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILYCOMMERCIAL ❑INDUSTRIAL CHANGE OF USE? 0 NO 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? VI NO 0 YES,TYPE SIZE SITE WORK I:RIGHT OF WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Convert existing under-drained grass athletic field to synthetic turf o FENCE IN ROW FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT VI CLEARING/GRADING/FILL/EXCAVATE 6,500 CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: Everett School District, Chuck Booth OWNER MAILING ADDRESS: STREET 3900 Broadway cry Everett STATE WA ZIP 98201 OWNER PHONE: 425-385-4198 OWNER EMAIL: CBooth@everettsd.org APPLICANT NAME: DA Hogan &Associates, Inc., Eric Gold APPLICANT MAILING ADDRESS: STREET 119 First Ave. S., Suite 110 cry Seattle STATE WA zip 98104 APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: 0 OWNER gl APPLICANT 0 OTHER(Architect,Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 206-285-0400 Eric Gold CONTACT EMAIL: ericg@dahogan.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.lam the owner,or lam 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. 110111.111. City of Everett Official Use Only PERMIT# , 4110 4 -7 - f-7 PWi IOL- -000 0 ner/A horized Agent Signature Date (Revised 9/23/2016)