Laserfiche WebLink
14277. PLIC WORKS PERMIT RI PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3401 Broadway <br /> IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) <br /> SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY IZICOMMERCIAL DINDUSTRIAL <br /> CHANGE OF USE? VI NO 0 YES, FROM TO <br /> NEW WATER/SEWER SERVICE NEEDED? 0 NO 0 YES,TYPE SIZE <br /> SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION <br /> DESCRIPTION OF WORK: Temporary use of site for construction staging and parking. <br /> Incidental brush clearing of invasive species, 4" gravel overlay on top of exist. gravel base. <br /> o FENCE IN ROW FT IN HEIGHT <br /> ❑ DRIVEWAY APRON/CURB CUT FT WIDE <br /> ❑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 /> ❑CLEARING/GRADING/FILL/EXCAVATE CY <br /> ❑ CUT/BORE IN PAVEMENT(PARALLEL) LF <br /> ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF <br /> CONTACT INFORMATION <br /> OWNER NAME: Hopeworks Social Enterprises <br /> OWNER MAILING ADDRESS: STREET 3331 Broadway <br /> c,Tv Everett STATE WA Z,P 98201 <br /> OWNER PHONE: 425 610 4931 OWNER EMAIL: ed@hopewrks.org <br /> APPLICANT NAME: Doug Hofius, Dykeman Architects <br /> APPLICANT MAILING ADDRESS: STREET 1716 W. Marine View Drive <br /> Cin Everett STATE WA <br /> ZIP 98201 <br /> APPLICANT PHONE: 425 259 3161 APPLICANT EMAIL: dough@dykeman.net <br /> PRIMARY CONTACT: 0 OWNER j[7 APPLICANT 0 OTHER(Architect, Engineer, Etc.) <br /> CONTACT NAME: CONTACT PHONE: 425 259 3161 <br /> Doug Hofius CONTACT EMAIL: dough@dykeman.net <br /> ACKNOWLEDGEMENT-I 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.I am the owner,or I am authorized by the owner of this property to <br /> perform the work for which application is made,and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 4 - , -2-0( PWW I 014- ON} <br /> Owner/Authorized A nt Signature Date (Revised 9/23/2016) <br />