HomeMy WebLinkAboutAPPLICATION CONSTRUCTION PERMIT APPLICATION
Community&Economic Development
City of Arlington • 18204 5911,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: 71PLY FlgFR - 19713
Snohomish County Tax Parcel I.D. #: 00426400005000
Project Address/Location: 19713 51 ST DR NE UNIT A
Description of Project: Access existing terminal,then bore approx.24'across 51st DR NE.Trench approx.76'in the 6'wide gravel strip&to customer
property&place new flowerpot,conduit&cable.
OWNER
Name:
Address:
City: State: Zip: Phone:
Email:
APPLICANT
Name: Ziply Fiber Northwest, LLC
Address: 426 E Casino Rd.
city: Everett State: WA zip: 98208 Phone: 402-670-8384
Email: grpatcopermits@ziply.com
ENGINEER
Name:
Address:
Ci : State: Zip: Phone:
Email: License #: Expiration:
CONTRACTOR
Name: Pacific Cable Construction, Inc.
Address:P.O. Box 573
City- Woodinville State: WA zip:98072 Phone:425-348-7735
Email: Luke(@Paccab.com License #: PACIFCC954PM Expiration: 10/21/23
1, 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''off/the Endangered Species Act and the Forest Practices Application(FPA).
Signature al) U)
Print Name: William Watts Date: 12/17/2025
Pagel of 2 REV 11/2018
Complete package constitutes all items. Only complete submittals will be accepted.
Civil-Submittal Requirements,Type I:
❑ Complete Application;
❑ Construction Plans including cut/fill quantities;
■ 2 fill size plan sets 2 2"x 34"
■ PDF file of the complete plan set
■ 2 fill size set of landscape plans 2 2"x 34"
❑ Marysville Utility plans,if applicable(2 sets);
❑ Drainage Analysis including calculations and downstream analysis (2 sets)and(PDF file);refer to Stormwater Drainage
Requirements;
❑ Geotechnical Report(2 sets) and(PDF file);
❑ SEPA is required if 500 or more cubic yards of cut/fill is proposed(not required if included with a Land Use Permit);
❑ Grading cut/fill quantity: ,
❑ Design Vehicle-demonstrate turning radius include 45'Fire trunk,dual axle, 256 inch wheel base;
❑ Complete Streets Checklist
❑ 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;
❑ Construction Calculation Worksheet;
❑ NPDES Permit(if required);See Storm Water Drainage Report,New or Redevelopment Flowcharts;
❑ Assurance Device will be required prior to Permit Issuance (Bond or Assignment of Funds);
❑ Permit Fee due at tine of permit submittal.
Grading I Paving I Drainage Submittal Requirements.Type II:
❑ Complete Application;
❑ Construction Plans including import/export quantities;
■ 2 fill size plan sets 2 2"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;
❑ Geotechnical Report(2 sets) and(PDF file);
❑ SEPA is required if 500 or more cubic yards of cut/fill is proposed(not required if included with a Land Use Permit);
❑ Grading cut/fill quantity:
❑ 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:
L� Complete Application;
L� Construction Plans;
L� Traffic Control Plan;
❑ Road Closure Request;
❑ Temporary Erosion&Sediment Control(TESL) 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);
L� Engineers Estimated Cost of Construction;$ ,
Permit fee due at time of permit issuance.
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