1407 80TH ST SW 2021-12-23 - Laserfiche WebLink

PLLIC WORKS PERMIT AILICATION 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 https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:1407 80th St. SW, Everett, WA 98203 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX EADU ❑MULTI-FAMILY ❑COMMERCIAL ❑✓INDUST. IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: ❑FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB#: JOB# DESCRIPTION OF SITE WORK/ RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: ✓❑FENCE IN ROW 6 FT IN HEIGHT ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑ASPHALT/CONCRETE PAVING SF ❑RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ❑CLEARING/GRADING/FILL/EXCAVATE CY ❑CUT/BORE IN PAVEMENT(PARALLEL) LF ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF ❑ POLE WORK/AERIAL/OVERLASH LF ADDITIONAL DESCRIPTION(AS NEEDED): Installation of access controls including automated gates and turnstiles to access facility CONTACT INFORMATION OWNER/APPLICANT NAME:Achilles USA, Inc. OWNER/APP. MAILING ADDRESS: STREET 1407 80th St. SW C1 ' Everett STATE WA ZIP 98203 • OWNER/APP. PHONE:(425) 353-7000 OWNER/APP. EMAIL:facilities@achillesusa.com CONTRACTOR NAME:Automated Gates and Equipment CONTRACTOR ADDRESS: STREET 10847 E. Marginal Way S. crry Seattle STATE WA ziP 98168 CONTRACTOR PHONE:(206)767-9080 CONTRACTOR EMAIL:mlranda@aegates.com CONTRACTOR LICENSE#(REQUIRED):AUTOMEC033RD EVERETT BUSINESS LICENSE#(REQUIRED): 024872 PRIMARY CONTACT: ✓❑OWNER /APPLICANT ❑CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:(425)513-6405 •Zachary Oborn CONTACT EMAIL:zoborn@achillesusa.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# V2V2 PW1- 10 /I- -- rl uth zed Agent Signature Date (Revised 1/5/2017)