Laserfiche WebLink
477 PUILIC WORKS PERMIT ANNLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everettepsceverettwa.gov I www.everettwa gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 902 N Broadway <br /> IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ❑INDUSTRIAL <br /> CHANGE OF USE? Ql NO 0 YES. FROM TO <br /> NEW WATER 1 SEWER SERVICE NEEDED? ❑ NO 0 YES,TYPE SIZE <br /> SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: <br /> Install one (1) groundwater monitoring well in the Tower street N sidewalk. Finish with flush monument. <br /> Place two (2) temporary soil borings in the N Broadway W Sidewalk. Abandon and patch. <br /> ❑ FENCE IN ROW FT IN HEIGHT <br /> ❑ DRIVEWAY APRON /CURB CUT FT WIDE <br /> 0 ASPHALT/CONCRETE PAVING SF <br /> ❑ RETAINING WALL ROCKERY IN RIGHT-OF-WAY LF <br /> ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT <br /> 0 CLEARING/GRADING i FILL !EXCAVATE CY <br /> ❑CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> ❑ <br /> CUTiBORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: NAP Management. Inc. Dave Hunter <br /> OWNER MAILING ADDRESS: STREET 7525 SE 24th ST, Suite 315 <br /> cm, Mercer ISland <br /> WA :.- 78040 <br /> OWNER PHONE: OWNER EMAIL: <br /> APPLICANT NAME: Kane Environmental (Eric Nassau) <br /> APPLICANT MAILING ADDRESS: :- r_ - PO Box 31936 <br /> Seattle SATE WA 98103 <br /> APPLICANT PHONE: 206-691-0476 APPLICANT EMAIL: enassau@kane-environmental.com <br /> PRIMARY CONTACT: 0 OWNER APPLICANT 0 OTHER (Architect. Engineer. Etc) <br /> CONTACT NAME: CONTACT PHONE: 206-691-0476 <br /> Eric Nassau CONTACT EMAIL: enassau tzckane-environmental corn <br /> ACr.4;;a'LEDGEMENT /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 m westing from the Building Official before being authorized under any circumstance I am the owner or/am authonzed by the owner of this property to <br /> perform the work for which application is made and(comply worth the State Contractors Law 16 27 PCW and 296 2004 W.AC <br /> City of Everett Official Use Only <br /> PERMIT# <br /> (;� (t/2-2 2C PW /7// 0 g) <br /> Owner/Authorized Agent Signature Coat (Revised 9/23/2016) <br />