3003 W CASINO RD BASE FILE 2019-06-19

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: 3003 W Casino Rd (Intersection of 29th Ave. W. and 94th St SW) IF APPLICABLE: 0 LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) N/A SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY ❑COMMERCIAL ®INDUSTRIAL CHANGE OF USE? IXNO 0 YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? UN() ❑YES,TYPE SIZE SITE WORK/ RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Reconfigure sidewalk to improve pedestrian safety. remove existing curb, sidewalk and ramp Install ADA ramp, sidewalk, curb and gutter. Install new light pole. 0 FENCE IN ROW FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF D L- ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEI T DEC - 1 2017 0 CLEARING/GRADING/FILL/EXCAVATE CY CITY OF EVERETT 0 CUT/BORE IN PAVEMENT(PARALLEL) LF Permit Services ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: The Boeing Co. OWNER MAILING ADDRESS: STREET P.O. Box 3707, MC OH-13 CITY Seatttle STATE WA ZIP 98124-2207 OWNER PHONE: OWNER EMAIL: APPLICANT NAME: same as owner APPLICANT MAILING ADDRESS: STREET CITY STATE ZIP APPLICANT PHONE: APPLICANT EMAIL: PRIMARY CONTACT: 0 OWNER qAPPLICANT 0 OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: 425-238-3768 Pete McGuire CONTACT EMAIL: peter.d.mcguire@boeing.com ACKNOWLEDGEMENT:1 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 I am 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# Il ia/� PW1-O. k� � i Owner/Authorize Agent Signature Date (Revised 10/12/2015)