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PUBIC WORKS PERMIT AIILICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 P 1663-03 f <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I .www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1802 75TH STREET SW, EVERETT WA 98203 <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) <br /> SITE WORK FOR PROJECT TYPE:DSFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL MINDUSTRIAL <br /> CHANGE OF USE? 23 NO 0 YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? IZI NO 0 YES,TYPE SIZE <br /> SITE WORK/RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Snohomish County PUD No.1 is proposing to conduct drainage maintenance on . <br /> approximately 0.93 acres at their Operations Center site. maintenance will include <br /> grading and installation of drainage trenches to improve existing drainage of the site. ' <br /> 0 FENCE IN ROW FT IN HEIGHT <br /> 0 DRIVEWAY APRON/CURB CUT FT WIDE <br /> 0 ASPHALT/CONCRETE PAVING SF <br /> 0 RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF <br /> 0 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> 1$1 CLEARING/GRADING/FILL/EXCAVATE 933 CY <br /> 0 CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> 0 CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: SNOHOMISH COUNTY PUD NO.1 <br /> OWNER MAILING ADDRESS: STREET 2320 CALIFORNIA STREET <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 425-783-8465 OWNER EMAIL: BRDAVIS@SNOPUD.COM <br /> APPLICANT NAME: BEN DAVIS, P.E. <br /> APPLICANT MAILING ADDRESS: STREET 2320 CALIFORNIA STREET <br /> C,TY EVERETT STATE WA ZIP 98201 <br /> APPLICANT PHONE: 425-783-8465 APPLICANT EMAIL: BRDAVIS@SNOPUD.COM <br /> PRIMARY CONTACT: 0 OWNER 1 APPLICANT 0 OTHER(Architect,Engineer,Etc.) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> ACKNOWLEDGEMENT:l 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.1 am the owner,or 1 am authorized by the owner of this property to <br /> perform the work for which application is made,and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 5/4V/ PW M3-O 3E <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />