7500 HARDESON RD 7 ELEVEN 2024-02-29

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS: Email application & submittal documents to PermitServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:7500 HardeSon Road SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY RCOMMERCIAL ❑INDUSTRIAL 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 FT IN HEIGHT ❑ DRIVEWAY APRON / CURB CUT FT WIDE @ ASPHALT / CONCRETE PAVING 5250 SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT R CLEARING / GRADING / FILL / EXCAVATE 80 CY ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF ❑ POLE WORK / AERIAL / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STORMWA TER DISCHARGES TO: ❑ Combined Sewer 8 Separated Storm Sewer ❑ Direct Discharge to Snohomish River or Puget Sound TRIGGERED REQUIREMENTS: ❑ MR2 Only ❑ MR1-5 W MR1-9 QUANTITY OF PROPOSED HARD SURFACES: Proposed Roof Area: 0 SF Proposed Hardscape: 6000 SF Total New+ Replaced: 6000 SF Expand parking lot at 7-Eleven store. CONTACT INFORMATION OWNER / APPLICANT NAME:AHBL (Applicant) OWNER / APP. MAILING ADDRESS: ST1EET2215 N. 30th St. #300 CITY Tacoma STATE WA Z,P 98403 OWNER / APP. PHONE:253-383-2422 OWNER I APP. EMAIL:JBrUce Bruce@ahbl.com `Required for Work in Public Right -of -Way CONTRACTOR NAME: Northway CONTRACTOR ADDRESS: STREET 1433 Valentine Ave. SE #102 CITY Pacific STATE WA ZIP 98047 CONTRACTOR PHONE: 253-735-8100 CONTRACTOR EMAIL: kyle@northwayinc.com CONTRACTOR LICENSE #(REQUIRED): NORTHCI905CQ EVERETT BUSINESS LICENSE #(REQUIRED): 54196 PRIMARY CONTACT: ❑ OWNER / APPLICANT ❑ CONTRACTOR @ OTHER (Architect, Engineer, Etc.) AHBL - engineering CONTACT NAME: Jessica Bruce CONTACT PHONE:253-383-2422 CONTACT EMAIL:JBruce@ahbl.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. 1 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. Digitally signed by Jessica Bruce Jessica B ru ce DN: C ssica Bruce @ahbl.com, O=AHBL, /4.7.23 CN=Jessica Bruce �} Date: 2023.04.07 15:01:53-07'00' Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # PW (Revised 412112022)