HomeMy WebLinkAbout322_211295---APPLICATION CONSTRUCTION PERMIT APPLICATION
Community&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 ❑ REDEVELOPMENT ❑
Project Name: 211295
Snohomish County Tax Parcel I.D. #. 00930200002200
Project Address/Location: 7021 BOVEE LN, ARLINGTON WA 98223
Description of Project: Access existing terminal, then bore approx. 78' to proposed flowerpot on private
property & hand dig to customer at 7021 Bovee LN.
OWNER
Name:
Address:
City: State: Zip: Phone:
Email:
APPLICANT
Name: Ziply Fiber Northwest, L L C
Address: 426 E Casino Rd.
City: Everett State: WA Zip: 98208 Phone: 402-670-8384
Email: grpatcopermits(@ziply.com
ENGINEER _
Name:
Address:
City: State: Zip: Phone:
Email: License#: Expiration:
CONTRACTOR
Name: Pacific Cable Construction, Inc.
Address:P.O. Box 573
Citv: Woodinville State: WA Zi :98072 Phone: 425-348-7735
Email: Luke-@-.oaccab.com License#: P A C I F C C 9 5 4 P Expiration:
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 pemlits and/or authorizations which may include, but not limited to, Right of Why
Penuit,WSOW Hydraulic Project Approval (HPA),WSDOE Notice of Intent(NOi),National Pollutant Discharge Elimination System (NPDES),Anny Corp. of
Engineers Permits,,, /the requirements oftlle Endangered Species Act;and the Forest Practices Application(FPA).
Signature__ Lt/e&2� U)a&a-
---------------------------------- -
Print Name:William Watts Date: 03/25/2026
----------------------------- ---------- -
Page 1 of2 REVII/2018
.Complete package constitutes all items. Only complete submittals will be accepted._
Civil -Submittal Requirements,Type I:
D Complete Application;
D 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"
D Marysville Utility plans, ifapplicable (2 sets);
D Drainage Analysis including calculations and downstream analysis (2 sets) and (PDF file); refer to Stormwater Drainage
Requirements;
D Geotechnical Report (2 sets) and (PDF file);
D SEPA is required if 500 or more cubic yards of cut/ fill is proposed (not required if included with a Land Use Permit);
D Grading cut/ fill quantity: --------
D Design Vehicle - demonstrate turning radius include 45' Fire truck, dual axle, 256 inch wheel base;
D Complete Streets Checklist
D Drafts of easement(s) dedication(s), and/or CAPE(s) for review;
D Flood Hazard Permit Application and required documentation if project is within 100 year flood plain; refer to Flood
Hazard guidance documents;
D Construction Calculation Worksheet;
D NPDES Permit (if required); See Storm Water Drainage Report, New or Redevelopment Flowcharts,
D Assurance Device will be required prior to Permitlssuance (Bond or Assignment of Funds);
D Permit Fee due at time of permit submittal.
Grading/Paving/Drainage Submittal Requirements,Type I1:
D Complete Application;
D Construction Plans including import/export quantities;
. 2 full size plan sets 22"x 34"
. PDF file of the complete plan set
D Drainage Analysis including calculations and downstream analysis (2 sets) and (PDF file); refer to Stormwater Drainage
Requirements;
D Geotechnical Report (2 sets) and (PDF file);
D SEPA is required if 500 or more cubic yards of cut/fill is proposed (not required if included with a Land Use Permit);
D Grading cut/ fill quantity: ---------
D Construction Calculation Worksheet;
D NPDES Permit (ifrequired); See Storm Water Drainage Report, New or Redevelopment Flowcharts,
D Permit fee due at time of permit submittal.
Right of Way Submittal Requirements,Type III:
Complete Application;
5Q Construction Plans;
Traffic Control Plan;
❑ Road dosure Request;
❑ Temporary Erosion &Sediment Control (TESC) Plan;
❑ Certificate oflnsurance with the City ofArlington named as Additional Insured;
❑ Assurance Device will be required prior to Permit Issuance (Bond or Assignment of Funds);
Engineers Estimated Cost of Construction; $____________
QI Permit fee due at time of permit issuance.
Page 2 of2