Laserfiche WebLink
MISS PUBLIC WORKS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTSUNNIINSTRUCTIONproaloppgm,aexternal oa.en%1ePe Ge eM.gQ.w FIX) alCea.aeen21d%orred W, <br />CONTACTINFORMATION: (P) 425-257-8810 1 (E) PerrmtSM'ianMeverelNa.gnv I DID ave2ltwa.gov)InimiM <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 7601 Evergreen Way <br />SITE WORK FOR PROJECT TYPE: 0SFRDETACHED 13TOWNHOUSE DOUPLEX DADU OMULTIFAMILY ECOMMERCIAL OINDUSTRIAL <br />WAPPLICABLE:❑LANOUSEPRWECT#(SEPA,PRE-APP,W.ETC.) <br />IF APPLICABLE: ❑ FRANCHISEIUTILITY COMPANY, ANNUAL BLANKET PERMIT# <br />UTILITY COMPANY'S NAME a JOB#: <br />DESCRIPTION OF SITE WORK! RIOKTAF-WAY <br />WORK <br />DRAINAGE MITIGATION QUESTIONS: <br />FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICABLE: <br />❑FENCE IN ROW N/A FT IN HEIGHT <br />STORMWATER DISCHARGES TO: <br />[I DRIVEWAY APPON/CURB CUT WA FTWIDE <br />0conmiMtl Sewer <br />E ASPHALT I CONCRETE PAVING 5530 SF <br />■ speararetl Sa,m sewer <br />❑ RETAINING WALL) ROCKERY IN RIGHT-OF-WAY WA LF <br />O Dlrect Drdwr9a to SndIxFF 1Rlvt,w Prefer BOOM <br />❑RETAINING WALL) ROCKERY OVER AFT IN HEIGHT WA FT TOTAL HEIGHT <br />TRIGGERED REQUIREMENTS: <br />❑ CLEARING I GRAOING/FILL /EXCAVATE WA CY <br />OMR2D1y I3MR15 OMR1-9 <br />❑CUT/BORE IN PAVEMENT (PARALLEL) WA LF <br />QUANPTYOFPROPO.SEO HARD SURFACES: <br />❑ CUTBORE IN PAVEMENT(NON-PARALLEL) WA LF <br />Fvpmea ROMArae: _No atltltliolal area SF <br />❑ POLE WORK I AERIAL I OVERLASH WA LF <br />Pmpnsea Radempe: No additiorelarea SF <br />ADDITIONAL DESCRIPTION(AS NEEDED : <br />Tow New +Re laced: NO additional areaeF <br />the areas where existing product ping <br />Scope will entail the /ollovJing: 1. Removal of existing Concrete/asphalt at <br />s a a remove an rep ace eTOY- D e an s a D accommD <br />a e costa a Ion o new sq ucREF <br />CONTACT INFORMATION <br />OWNER I APPLICANT NAME:JDe Myers <br />OWNERIAPP. MAILINGADDRESS: awEar3726 E. Boone Avenue <br />em Spokane STAm WA „P99202 <br />OWNER IMP. PHONE:509-492-7016 <br />IOWNER I APP. EMAIL:IOeC&granitepetroleum.COm <br />'R ulmtlfor WoMin Pudic RyM-of-Way <br />CONTRACTOR NAME: Granite Petroleum <br />CONTRACTOR ADDRESS: amaETSM6 E. Bcone Avenue <br />Lrry Spokane sAra WA zv 99202 <br />CONTRACTOR PHONE: 509J62-7016 CONTRACTOR EMAILaoe@graniteperroleum.com <br />CONTRACTOR LICENSE#(REQUIRED): ffiM7 EVERETT BUSINESS LICENSE KREOUIRED): Applied for <br />PRIMARYCONTACT: ❑ OWNER) APPLICANT III CONTRACTOR ❑ OTHER(Archtect. E, neer Etc.) <br />CONTACT NAME: Joe Myers <br />Y <br />CONTACT PHONE: 6094827016 <br />CONTACT EMAIL: leeedmium-Nummn <br />AG AAA LEDGEMENT I hew rerle,wtl MuaPPOcetion n0 wnmm For mrpmreoon comamu ne.....i uw"�v.w4 . Mn..wx rv.---...-_.._._.._.. — <br />wnpry nrlh cumr.Y IMerel, aMM, and Xcelw. They tMg Of permll mlyeullmzw epprovae vmrkaM no mvralu+a Mere(mm.�mlMa mu&Ilret 6e <br />xMonmtl in weINP M1am 1M BNkPnPORn'LCalwe dNngeulhsmtlunMreay nrrum&axe.lam Me wvner, wlam euMwnetlhy Me ownerWMia p(opNy(o <br />pMprm Me woh MwhMl,eppiWim bmetle,aMlccmPly HM Me SYe(e LwPrxlwa Lax lB 2]RCWaM 260.20W WAC <br />G!/ W Everett IX(,eNl Uwe ONy <br />5/17/Zo2 3 <br />k I P#W <br />Own (Revbae M217M21 <br />