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405 Olympic Ave_PJ26-0003_2026
18204 59th Avenue NE • op ' • 14 Arlington, Washington 98223 to tt Phone: 360-403-3551 jNG� WASHINGTON C Civil Use - Right of Way Permit Parcel:00529900701100 Permit#:26-0003 Permit Address:405 OLYMPIC AVE Permit Expiration: April 16, 2026 Description of Work:Dig approximately 1'xl' holes in hard surface for gas meter guard posts.Will pothole if needed. OWNER APPLICANT CONTRACTOR Cascade Natural Gas Cascade Natural Gas ARLINGTON TEMPLE CORP 1520 S 2nd St,Mount Vernon,WA 98273 1520 S 2nd St,Mount Vernon,WA 98273 405 N OLYMPIC ARLINGTON,WA,98223 360-336-6156 360-336-6156 chad.cleary@cng.com chad.cleary@cngc.com registration_number:CASCANG812LQ PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor. It is unlawful to use or occupy a building or structure until a final inspection has been made and approval or a Certificate of Occupancy has been granted. This permit authorizes only the work noted and covers work to be done on private property only. Any construction on public domain (curbs, sidewalks, driveways, marquees, etc.) will require a separate permit. The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities before commencing construction. The property owner shall ensure that the construction project complies with all applicable design review requirements. CONDITIONS The applicant is required to notify the City for inspections. Failure to give notice will result in violation of AMC 1 ) Chapter 12.40.240 and may result in additional inspection fees. To request an inspection call 360-403-3417 by 3:30 for next day inspection. Applicant must comply with all applicable City of Arlington, state and federal laws, ordinances, code and regulation in performing the work authorized by this permit. Traffic Control must comply with the current version of MUTCD. Work Hours are 7 am to 7 pm Monday- Saturday (no work on Sundays or City Recognized Holidays). Inspections are not available on Saturday or 2.) Sunday. Non-motorized traffic control must be provided if any part of the work impacts existing non-motorized facilities. Non-motorized traffic control measures shall provide a level of accessibility that are, at minimum, equal to the existing conditions of the site. Two days before starting work, the applicant must have all utilities located. One Call, is a public utility locating 3.) service (#811 or 1-800-424-5555). Privately installed facilities must also be located using a private utility locating service. Private property owners which may be affected by the proposed work must be notified in advance of potential 4') disruptions in access or utility services. INSPECTIONS Inspection Line: 360-403-3417 Call for inspections by 3:30 pm for next day inspection. Please allow 48 hours for Fire Inspections. Please provide the following information when leaving a message: Permit Number, Type of Inspection, and provide preference of morning or afternoon inspection. Inspection Portal: Please login to customer portal and submit for the desired inspection type for the permit. APPROVED BY Admin - Thad Newport Development Services Engineering Manager ASSOCIATED FEES Date Description Paid Date Amount Paid Balance January 15, Processing/Technology Fee(320.341.43.00.02) $25.00 2026 January 15, Right of Way(006.322.40.00.02) $125.00 2026 TOTAL: Project Fees $150.00 $150.00 Credit/Debit Card 217 Payment Successful January 15, 2026 $150.00 $0.00 CONSTRUCTION PERMIT APPLICATION Community and Economic Development City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone (360)403-3551 CIVIL(TYPE I) GRADING/PAVING/DRAINAGE (TYPE II) ❑ RIGHT OF WAY(TYPE III) TYPE I&II ONLY NEW DEVELOPMENT 71 REDEVELOPMENT Project Name: 403 N Olympic Dr - Install gas meter guard posts Project Address/Location: 405 N Olympic Dr Tax Parcel I.D.#:00529900701100 Description of Project: Dig approx. 1'xl' holes in hard surface. Will pothole if needed. Project Size in Acres: na DOE General Construction Stormwater Permit#: na OWNER Name:na Address: na City: na State: na Zip: na Phone: na Email:na APPLICANT Name:Cascade Natural Gas Address: 1520 S 2nd St city: Mount Vernon State: Wa zip: 98273 Phone: 360-336-6156 Email:Chad.Cleary@cngc.com ENGINEER Name:na Address:na city: na State: na zip: na Phone: na Email: na License#: na Expiration: na CONTRACTOR Name:Cascade Natural Gas Address:1520 S 2nd St City: Mount Vernon State: Wa zip: 98273 Phone: 360-336-6156 Email: Chad.Cleary@cngc.com License#: CASCANG812LQ Expiration: na I, hereby certify that I have read and examined this application, City of Arlington Municipal Code, Standard Plan & Specifications. Performance of the proposed work shall follow all applicable laws and regulations.The owner/applicant shall assume full and complete responsibility for said work and shall be responsible for the acquisition and compliance of all applicable permits and/or authorizations which may include,but not limited to, Right of Way Permit,WSDW Hydraulic Project Approval(HPA),WSDOE Notice of Intent(NOI),National Pollutant Discharge Elimination System (NPDES),Army Corp.of Engineers Permits,the requirements of the Endangered Species Act,and the Forest Practices Application(FPA). Digitally signed by Chad Cleary DN:C=US,E=Chad.Cleary@cncgc.com,O=Cascade Natural Gas,CN=Chad Cleary Signature Data 2026.01.06 11:45:08-08'00' Print Name: Chad Cleary Date: 1/6/25 Pagel of 2 REV2/2024 Complete package constitutes all items. Only complete submittals will be accepted. Civil-Submittal Requirements,Type I: Electronic files shall be PDF on USB flash-drive,email,or drop-box Complete Application Construction Plans including cut/fill quantities ■ 2 full size plan sets 22"x 34" ■ PDF file of the complete plan set ■ 2 full size set of landscape plans 22"x 34" Marysville Utility plans,if applicable(2 sets) Department of Ecology General Construction Stormwater Permit(if applicable) Drainage Analysis including calculations and downstream analysis(2 sets)and(PDF file);refer to Stormwater Drainage Requirements eGeotechnical Report(2 sets)and(PDF file) SEPA is required if 250 or more cubic yards of cut/fill is proposed (not required if included with a Land Use Permit);if there is not a Land Use Permit associated with the project,Public Notice Materials will be required Grading cut/fill quantity: ^a Design Vehicle-demonstrate turning radius include 45' Fire truck,dual axle,256-inch wheelbase Drafts of easement(s)dedication(s),and/or CAPE(s)for review Flood Hazard Permit Application and required documentation if project is within 100-year flood plain;refer to Flood Hazard guidance documents eConstruction Calculation Worksheet NPDES Permit(if required);See Storm Water Drainage Report,New or Redevelopment Flowcharts eAssurance Device will be required prior to Permit Issuance (Bond or Assignment of Funds) Permit Fee due at time of permit submittal Grading Paving Drainage Submittal Requirements,Type II:Electronic files shall be PDF on USB flash-drive,email, or drop-box eComplete Application Construction Plans including import/export quantities ■ 2 full size plan sets 22"x 34" ■ PDF file of the complete plan set ❑ Drainage Analysis including calculations and downstream analysis(2 sets)and(PDF file);refer to Stormwater Drainage Requirements Department of Ecology General Construction Stormwater Permit(if applicable) Geotechnical Report(2 sets)and(PDF file) SEPA is required if 250 or more cubic yards of cut/fill is proposed(not required if included with a Land Use Permit) SEPA Public Notice Material Requirements: ■ Snohomish County Assessor's Quarter Section Map: O Show Subject Property O Show 500 ft.Boundary ■ Current Owner List(of properties within 500ft.radius) including the following: O Tax Parcel ID Number(s) 13 Owner(s) Full Names) O Owner(s)Mailing Address(es) O Current Resident&Property Address (if property owner doesn't reside at the property) ■ Mailing Material:Provide O white,#10 envelopes with the following affixed to the envelopes: O Postage 11 Mailing Labels 11 Return Address labels: 18204 591h Ave NE,Arlington WA 98223 Grading cut/fill quantity: °d Construction Calculation Worksheet NPDES Permit(if required);See Storm Water Drainage Report,New or Redevelopment Flowcharts Permit fee due at time of permit submittal Right of Way Submittal Requirements,Type III: Electronic files shall be PDF on USB flash-drive,email,or drop-box Complete Application. Construction Plans. Traffic Control Plan. Road Closure Request. Temporary Erosion&Sediment Control(TESC) Plan. Certificate of Insurance with the City of Arlington named as Additional Insured. Assurance Device will be required prior to Permit Issuance(Bond or Assignment of Funds). Engineers Estimated Cost of Construction;$500 Permit fee due at time of permit issuance. Page 2 of 2 Go gle Maps 403 N Olympic Ave © 403 N Olympic Ave .r. City of Arlington Remove two barricades to allow •� for replacement of above ground 2 meter manifold with 3 meter manifold. Replace barricades, restore 1'x1' asphalt cut around barricades with with 1'x1' concrete 'f fisting Gas Riser TCP: Partial alley closure c ,� p r • No Flagging ! 1 x1 As halt Cut CNG Crew o 44 Imagery©2026 Airbus,Map data©2026 20 ft RDAD RDAD # ALLEY - LOCAL ACCESS ONLY <#> W20-1 W20-1 City of Arlington 18204 59th Avenue NE, Arlington, • • Washington 98223 Phone: 360-403-3551 jNG� WASHINGTON C Invoice Number: 26-0048 INVOICE Invoice Date:January 15, 2026 Account Number: 1160843564 Bill To: Invoice Questions? Cascade Natural Gas Chad Cleary Phone: 360-403-3551 1520 S 2nd St Email: ced@arlingtonwa.gov Invoice Due Date:January 13, 2026 Record Number: Project A26-0003 Parcel Number: 00529900701100 Location: 405 OLYMPIC AVE Date Description Paid Date Amount Paid Balance January 15, Processing/Technology Fee (320.341.43.00.02) $25.00 2026 January 15, Right of Way(006.322.40.00.02) $125.00 2026 TOTAL: Project Fees $150.00 $150.00 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------- REMITTANCE INFORMATION If you are paying by check, please include this portion with your payment and remit to the address listed on this invoice. Remittance Information Invoice Account Total Due Your payment is due by January 15, 2026 Number Number This Invoice 26-0048 1160843564 $150. 00 Cascade Natural Gas Chad Cleary 1520 S 2nd St 18204 59th Avenue NE • op ' • 14 Arlington, Washington 98223 to tt Phone: 360-403-3551 jNG� WASHINGTON C Civil Use - Right of Way Permit Parcel:00529900701100 Permit#:26-0003 Permit Address:405 OLYMPIC AVE Permit Expiration: April 16, 2026 Description of Work:Dig approximately 1'xl' holes in hard surface for gas meter guard posts.Will pothole if needed. OWNER APPLICANT CONTRACTOR Cascade Natural Gas Cascade Natural Gas ARLINGTON TEMPLE CORP 1520 S 2nd St,Mount Vernon,WA 98273 1520 S 2nd St,Mount Vernon,WA 98273 405 N OLYMPIC ARLINGTON,WA,98223 360-336-6156 360-336-6156 chad.cleary@cng.com chad.cleary@cngc.com registration_number:CASCANG812LQ PERMIT APPROVAL The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor. It is unlawful to use or occupy a building or structure until a final inspection has been made and approval or a Certificate of Occupancy has been granted. This permit authorizes only the work noted and covers work to be done on private property only. Any construction on public domain (curbs, sidewalks, driveways, marquees, etc.) will require a separate permit. The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations. The property owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or community. The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities before commencing construction. The property owner shall ensure that the construction project complies with all applicable design review requirements. CONDITIONS The applicant is required to notify the City for inspections. Failure to give notice will result in violation of AMC 1 ) Chapter 12.40.240 and may result in additional inspection fees. To request an inspection call 360-403-3417 by 3:30 for next day inspection. Applicant must comply with all applicable City of Arlington, state and federal laws, ordinances, code and regulation in performing the work authorized by this permit. Traffic Control must comply with the current version of MUTCD. Work Hours are 7 am to 7 pm Monday- Saturday (no work on Sundays or City Recognized Holidays). Inspections are not available on Saturday or 2.) Sunday. Non-motorized traffic control must be provided if any part of the work impacts existing non-motorized facilities. Non-motorized traffic control measures shall provide a level of accessibility that are, at minimum, equal to the existing conditions of the site. Two days before starting work, the applicant must have all utilities located. One Call, is a public utility locating 3.) service (#811 or 1-800-424-5555). Privately installed facilities must also be located using a private utility locating service. Private property owners which may be affected by the proposed work must be notified in advance of potential 4') disruptions in access or utility services. INSPECTIONS Inspection Line: 360-403-3417 Call for inspections by 3:30 pm for next day inspection. Please allow 48 hours for Fire Inspections. Please provide the following information when leaving a message: Permit Number, Type of Inspection, and provide preference of morning or afternoon inspection. Inspection Portal: Please login to customer portal and submit for the desired inspection type for the permit. APPROVED BY Admin - Thad Newport Development Services Engineering Manager ASSOCIATED FEES Date Description Paid Date Amount Paid Balance January 15, Processing/Technology Fee(320.341.43.00.02) $25.00 2026 January 15, Right of Way(006.322.40.00.02) $125.00 2026 TOTAL: Project Fees $150.00 $150.00 Credit/Debit Card 217 Payment Successful January 15, 2026 $150.00 $0.00 4rtk( tot( WASHINGTON Project Information - ' 'nformat;^ Project # 26-0003 Parcel # 00529900701100 Building ID Location 405 OLYMPIC AVE Project Type Civil Use Project Use Right of Way Parent Project# Subdivision Applicant Name Cascade Natural Gas Address 1520 S 2nd St, Mount Vernon, WA 98273 Applicant Email chad.cleary@cngc.com Phone 360-336-6156 Cell Owner Name ARLINGTON TEMPLE CORP Address 405 N OLYMPIC ARLINGTON, WA, 98223 Owner Email Phone Cell Contractor Cascade Natural Gas Address 1520 S 2nd St, Mount Vernon, WA 98273 Contractor Email chad.cleary@cng.com Phone 360-336-6156 Cell Type/Improveme Accessory/Struct nt ure Current Use Proposed Use Current Zoning OTBD-1 Proposed Zoning Project Cost 500.00 Project Value 500.00 Current Use And Dig approximately 1'xl' holes in hard surface for gas meter guard posts. Will pothole if needed. Proposed Changes Lot Width Lot Depth Map Number Total Area of Building &Accessory Total Area of All Man-made Improvements Structures (Sq Ft) (Sq Ft) General Notes Restrictions/ Variances @ Community Development Online Portal Page 1 of 5 April 8, 2026 03:46PM WASHINGTON Structure Information Structure Type # of Stories Usable Floor Area (Sq Ft) Structure Height null # of Units 0 Load per Floor (Lbs) Sign Dimensions # of Bedrooms null # of Bathrooms null Occupancy With Chairs Tables & Chairs Empty Room Foundation Foundation Type Footing Depth null Material Foundation Information Setbacks Front& 0 0 Setbacks Right & 0 0 Rear Left Sides Setbacks Information Water Utility Sewage Utility Gas Utility Electric Utility Driveway Width null # of Off Street null # of Off Street null Parking Loading Miscellaneous Information ©Community Development Online Portal Page 2 of 5 April 8, 2026 03:46PM WASHINGTON Contractors License # Business Name Type Contact CASCANG812LQ Cascade Natural Gas General Contractor Chad Cleary ©Community Development Online Portal Page 3 of 5 April 8,2026 03:46PM 4rtk( tot( WASHINGTON Contacts Contact Name Type Project Address Phone Cascade Natural Gas Applicant 1520 S 2nd St 360-336-6156 Chad Cleary Cascade Natural Gas Applicant 1520 S 2nd St, Mount 360-336-6156 Vernon, WA 98273 Cascade Natural Gas Contractor 1520 S 2nd St, Mount 360-336-6156 Vernon, WA 98273 ARLINGTON TEMPLE CORP Owner 405 N OLYMPIC ARLINGTON, WA, 98223 ©Community Development Online Portal Page 4 of 5 April 8, 2026 03:46PM 4rtk( tot( WASHINGTON Fees Fee Type Date Debit Credit Balance Project Fees January 15, 2026 $150.00 $150.00 $150.00 $0.00 T O T A L $150.00 $150.00 $0.00 ©Community Development Online Portal Page 5 of 5 April 8, 2026 03:46PM