607 SE EVERETT MALL WAY 7 ELEVEN 2022-01-24

PILIC WORKS PERMIT A.LICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 FAX 425-257-8857 I (E)everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:607 SE Everett Mall Way, Everett,WA 98208-3248 - SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED EITOWNHOUSE ['DUPLEX EADU ❑MULTI-FAMILY ©COMMERCIAL ['INDUSTRIAL IF APPLICABLE: © LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)SEPA20-014 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: DRAINAGE MITIGATION QUESTIONS: ['FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑DRIVEWAY APRON/CURB CUT FT WIDE ❑Combined Sewer ❑ASPHALT/CONCRETE PAVING SF ©Separated Storm Sewer El RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound El RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ©CLEARING/GRADING/FILL/EXCAVATE 900 CY ❑MR2 Only El MR1-5 ❑ MR1-9 ❑CUT/BORE IN PAVEMENT(PARALLEL) LF QUANTITY OF PROPOSED HARD SURFACES: ❑CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area.0 SF ❑POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape.0 SF ADDITIONAL DESCRIPTION(AS NEEDED): Total New+Replaced 0 SF Install new fuel tanks and fueling lines. Move existing storm line to the North for the installation tanks add oil & water seperator CONTACT INFORMATION OWNER/APPLICANT NAME:Tom Noble OWNER I APP. MAILING ADDRESS: STREET 3636 44th Ave SW CITY Seattle STATE WA zip 98116 OWNER I APP.PHONE:206-795-3794 OWNER/APP.EMAIL:tom.noble@sevansolutions.com *Required for Work in Public Right-of-Way CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑✓ OWNER /APPLICANT 0 CONTRACTOR ❑OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:206-795-3794 Tom Noble CONTACT EMAIL:tom.noble@sevansolutions.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 m and I comply with the State Contractors Law 18.27 ROW and 296.200A WAC. City of Everett Official Use Only PERMIT#2..o ,tea,` Tom Nobl Digitally signed by Tom Noble �t 2 -v— P 1�{/ 0 ��• O20 Date:20signe b3 1 Torn 43 No-le ` V V Owner/Authori ed Agent Signature (Revised 1/72019)