1815 13TH ST SEATTLE CHILDRENS NORTH CLINIC 2019-07-08

OrErr PLIC WORKS PERMIT A_a_ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1815 13th Street,Everett,Washington IF APPLICABLE: J LAND USE PROJECT#(SEPA,PRE-APP,SS,ETC.) SEPA 16-013 SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY COMMERCIAL ❑INDUSTRIAL CHANGE OF USE? )(NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? )8(NO 0 YES,TYPE SIZE SITE WORK/RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Demolition, rerouting,and addition of selective site utilities,paving,and landscaping;site regrading; new storm detention vault;and re-striping of the existing temporary parking lot. ('Pha,sE, ❑FENCE IN ROW FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE )(ASPHALT/CONCRETE PAVING 70,420 SF ECIL-' ]Wr ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF 0 RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT JUN 0 2 2016 LJ CLEARING/GRADING/FILL/EXCAVATE 3,700 CY �S(CUT/BORE IN PAVEMENT(PARALLEL) 2,930 LF CITY F EVERETT Permit Services ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: Providence Regional Medical Center,Attention: Kimberly McHugh OWNER MAILING ADDRESS: STREET 600 Broadway,Suite 304 crry Seattle STATE Washington ZIP 98122 OWNER PHONE: 206.320.2585 OWNER EMAIL: kimberly.mchugh@providence.org APPUCANT NAME: ZGF Architects,Attention: Daniel Brindisi APPLICANT MAILING ADDRESS: STREET 925 4th Avenue,Suite 2400 an, Seattle STATE Washington ZIP 98104 APPLICANT PHONE: 206.521.3505 'APPLICANT EMAIL: daniel.brindisi@zgf.com PRIMARY CONTACT: ❑OWNER )8(APPLICANT 0 OTHER(Architect,Engineer,Etc.) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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.I am 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. City of Everett Official Use Only PERMIT# • Ale PW 1606 -_ 001 ner/Authorized Agent S Date (Revised 10/12/2015)