10200 19TH AVE SE COSTCO FUEL STATION 2022-05-23

uocuigri criveiope iu. bact otio-ut..,vu-4uas-aNr^:7r+rrmc C aobri I Pl IC WORKS PERMIT Al i LICATION 1!:!!!!'7A 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: 10200 19th Avenue S.E., Everett, WA 98208 IF APPLICABLE: NI LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)PRE-APP#18-005 SITE WORK FOR PROJECT TYPE:❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX DMULTI-FAMILY OCOMMERCIAL ❑INDUSTRIAL CHANGE OF USE? 0 NO ❑YES, FROM TO NEW WATER/SEWER SERVICE NEEDED? 0 NO ❑ YES,TYPE SIZE SITE WORK / RIGHT-OF-WAY APPLICATION INFORMATION DESCRIPTION OF WORK: Project work involves the expansion of the existing fuel canopy into the vehicle queuing area, and addition of 4 new fuel dispensers. Additional improvements include associated grading withing the fuel queuing area and a modification to the channelization island at the driveway along 19th Avenue S.E. ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON/CURB CUT FT WIDE ASPHALT/CONCRETE PAVING 9,260 SF ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT CLEARING/GRADING/FILL/EXCAVATE 325 CY ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF El CUT/BORE IN PAVEMENT(NON-PARALLEL) LF CONTACT INFORMATION OWNER NAME: Costco Wholesale/ c/o Kim Katz - Director of Real Estate Development OWNER MAILING ADDRESS: STREET 999 Lake Drive ciTy Issaquah STATE WA ZIP 98027 OWNER PHONE: (425) 427-7540 OWNER EMAIL: kkatz@costco.com APPLICANT NAME: Barghausen Consulting Engineers,Inc. /Megan E.S. Palmer, P.E. APPLICANT MAILING ADDRESS: STREET 18215 72nd Avenue South CITY Kent STATE WA ZIP 98032 APPLICANT PHONE: (425)656-1072 APPLICANT EMAIL: mpalmer@barghausen.com PRIMARY CONTACT: ❑ OWNER APPLICANT ❑ OTHER (Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE: (425)656-1072 Megan E.S. Palmer, P.E. CONTACT EMAIL: mpalmer@barghausen.com 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 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# ,- DocuSigned by: 6f4) 4/20/2018 PW r 3 kAlf/ Eg saaao (Revised 9/23/2016) Owner/�1u�orrzed Agent Signature Date