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3210 TERMINAL AVE 2021-09-28
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3210 TERMINAL AVE 2021-09-28
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9/28/2021 12:00:04 PM
Creation date
9/24/2021 2:33:01 PM
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Address Document
Street Name
TERMINAL AVE
Street Number
3210
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• • <br /> BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 3210 Terminal Ave PARCEL#:29053000203400&29053000201800 <br /> COY Everett STATE WA zip 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION(if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): Port of Everett <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Port of Everett <br /> OWNER MAILING ADDRESS: STREET PO Box 538 <br /> CITY Everett STATE WA ZIP 98206 <br /> OWNER PHONE: 425-388-0633 OWNER EMAIL:SteveH@portofeverett.com <br /> CONTRACTOR COMPANY NAME: E F�C A.la t 12-0 fJ <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):E i I€q tt,ITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63 i <br /> CONTRACTOR ADDRESS: STREET L'2e l p Ave.. <br /> 1� l <br /> CITY ( 4sy STATE WA— ZIP 21 I <br /> CONTRACTOR PHONE(r �j� —' t t"7 !CONTRACTOR EMAIL:er �ca-AM (P�( a Moil,�Ql,\ <br /> PRIMARY CONTACT: 0`OWNER El CONTRACTOR DI OTHER(Please Specify) t <br /> CONTACT NAME: Steve Hager, Project Manager CONTACT PHONE: 425-388-0633 <br /> CONTACT EMAIL: SteveH@portofeverett.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$ 64,984 ASSOCIATED LAND USE PROJECT#(if applicable): SMA-16-009 <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING: N.A. <br /> PROPOSED USE OF BUILDING: N.A. <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU OMulti-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof DExterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ®Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> Install 1,040 lineal feet of 8-foot tall chain link security fence with razor wire on top at the Port's internation shipping terminal. <br /> FYI: Another 280 lineal feet of 6-foot tall chain link fence,without razor wire,will also be installed but is not subject to <br /> building permit review. <br /> 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 <br /> 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 <br /> Building Official before being authorized under any circumstance.tam the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296,200A WAC. <br /> City of Everett Official Use Only <br /> • PERMIT# / 024 <br /> Own r/Aut d ent S Date (Revised 2l8/2021) <br /> �/v <br />
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