6617 ASSOCIATED BLVD AMAZON 2023-12-06

ix PISLIC WORKS PERMITLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 i (E) everetteps@everettwa.gov I https://everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:6617 Associated Boulevard, Everett, WA 98203 SITE WORK FOR PROJECT TYPE: ESFR-DETACHED TOWNHOUSE DUPLEX EADU ❑MULTI-FAMILY ❑COMMERCIAL ✓❑INDUSTRIAL IF APPLICABLE: ® LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)N/A IIF 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 ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑ CLEARING/GRADING/FILL/EXCAVATE CY ❑ MR2 Only ❑ 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: SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape: SF ADDITIONAL DESCRIPTION (AS NEEDED): Total New+Replaced: SF Restriping of existing paved parking fields and new signage. No new pavement, curbing, landscape islands, or changes to stormwater infrastructure are proposed. CONTACT INFORMATION OWNER/APPLICANT NAME: LBA/PPF Industrial-Associated/West Valley, LLC (Danielle Good) OWNER/APP. MAILING ADDRESS: sTREET 1106 Shuksan Way CITY Everett STATE WA ZIP 98203 OWNER/APP. PHONE:206-812-1000 OWNER/APP. EMAIL:DGood@lbarealty.com -Required for Work in Public Right-of-Way CONTRACTOR NAME: TPU- (: .4,4- C—05A-967: 1--V --) CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): r P P.C ll-k5 Ni SS EVERETT BUSINESS LICENSE#(REQUIRED): �� PRIMARY CONTACT: ❑ OWNER /APPLICANT ❑ CONTRACTOR ❑✓ OTHER(Architect, Engineer, Etc.) civil&Environmental Consultants.Inc. CONTACT NAME: CONTACT PHONE:724-387-6338 Joshua Magargee CONTACT EMAIL:jmagargee@cecinc.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# f��'( - c-- Q �p, ck., 6/21/2021 PW 2- V 1J DI� Owner/Au rized Agent Signature Date (Revised 1/72019) Danielle Good. As Manaaina Aaent for Owner ,