2410 RAILWAY AVE 2025-08-15 - Laserfiche WebLink

Ormrr (P)425-257-8810 WAR /SEWER UTILITY AVLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 FAX 425-257-8857 1 (E) everettepsCeverettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS: 2410 Railway Avenue (Parcel No. 00480100200800) IF APPLICABLE: it OUTSIDE CITY LIMITS ❑ BUILDING AREA 14.520 SF ❑ LOT # BUILDING TYPE: ❑SFR ❑TOWNHOUSE --]DUPLEX ❑ADU ❑MULTI -FAMILY-# OF UNITS: ©COMMERCIAL ❑ACCESSORY CHANGE OF USE? C NO 0 YES, FROM Vacant TO Commercial Truck/Trailer Rental & Maintenance UTILITY APPLICATION INFORMATION SEWER (check all that appiy) I WATER (check all that apply) I ❑ SIDE SEWER REPAIR ❑ SIDE SEWER ALTERATION Z NEW SIDE SEWER INSTALLATION ❑ INSTALL BACKWATER VALVE (outside the building) ❑ SIDE SEWER CAP -OFF ❑ SIDE SEWER RECONNECTION MULTIPLE DOMESTIC WATER SERVICES REQUEST ❑ I AM DECLINING MULTIPLE DOMESTIC WATER SERVICES FOR MY MULTI -FAMILY DEVELOPMENT UNDER SINGLE OWNERSHIP ❑ I AM OPTING TO INSTALL MULTIPLE DOMESTIC WATER SERVICES FOR MY MULTI -FAMILY DEVELOPMENT UNDER SINGLE OWNERSHIP. RLL OUT REVERSE SIDE OF THIS FORME 0 NEW WATER SERVICE INSTALLATION Z COMPLETE SERVICE ❑ METER ONLY SERVICE / METER USE: ❑ SFR MULTI -FAMILY - # OF UNITS: © COMMERCIAL WATER SERVICE TYPE / SIZE (provide Celts to Support Size choice) m DOMESTIC_ 03/4" 111" 2 7' ❑Other : ❑ IRRIGATION: ❑3/4" ❑l" A I ❑Other :--,-� © FIRE: ❑r ❑7' E4" ❑6' 8" DOther ❑ DOMESTIC/FIRE COMBO: ❑1" 7' ❑Other Z BACKFLOW PREVENTION (Outside): ©RPBA ZDCDA ©DCVA CONTACT INFORMATION OWNER NAME: Penske Truck Leasing -Attention Sean Yentsch TENANT BUSINESS NAME It Commerdal : Penske Truck Leasing OWNER MAILING ADDRESS: STREET 5 Capital Drive, Suite 202 CrrY Harrisburg STATE PA ZIP 17110 OWNER PHONE: (717) 545-1041 OWNER EMAIL: sean.yentsch@penske.com CONTRACTOR NAME: To Be Determined CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR UC. #(REQUIRED): CITY OF EVERETT BUSINESS LIC. #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Josh Lester CONTACT PHONE: (360) 947-3243 CONTACT EMAIL: josh. lesterOpenske.com AGREEMENT: The underspned applicant agrees to eanpy with aN provisions of the Everett Murreipal Code Tidb 14 Waler and Sewer or such other rubs and ropu/abons now existing or which may be established from time to time. The appkant farther agrees, as a concition precedent to rece wV service that the utilities division shag have the right at any time, without notice, to shut off or tum on the wete► supply for repairs, construction and nonpayment of charges or for any other reesoneble cause. I am the owner, or I am authorized by the owner of this p► *wfy to perform the work for which application is made, and I compy with the State Contractors Law 18. 27 RCW and 296.200A WAC. City of Everett OTicie/ Use Only / L PERMIT # -� -/ U Owner/Authorized Agent Signature Date (Revised 1011212018)