1122 75TH ST SW SNO CO PUD 2023-08-08

BL41- DING PERMIT APPLICAT*N CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1122 75th Street SW PARCEL #: 28041200305000 CITY Everett STATE WA ZIP 98203 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): Snohomish County PUD No. 1 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: see Drawings Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Snohomish County Public Utility District No.1 OWNER MAILING ADDRESS: STREET 2320 California Street, PO Box 1107 CITY Everett STATE WA ZIP 98206 OWNER PHONE: 425-783-8004 OWNER EMAIL: mtcurfman@snopud.com CONTRACTOR COMPANY NAME: To Be Selected WA STATE CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Mark T. Curfman, AIA CONTACT PHONE: 425-783-8004 CONTACT EMAIL:mtcurfman@snopud.com BUILDING INFORMATION VALUATION OF WORK: $150,000 ASSOCIATED LAND USE PROJECT # (if applicable): N/A (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: Assembly (last use. Currently vacant) PROPOSED USE OF BUILDING: S-2 Low Hazard Storage under a Temporary Occupancy Permit for a limited time. HEAT SOURCE: (]Gas []Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU F]Multi-Family - # Units: ❑✓ Commercial []Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair ZT.I. ❑✓ Change of Use []Modular ❑Portable ❑Re -roof ❑Exterior Alteration []Tank (above ground) ❑Accessory Structure []Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Tenant improvements to convert existing Assembly use building to S-2 Low Hazard Storage under a temporary occupancy permit. Work will include new partitions and doors, patching and painting, new lighting and improvements to existing exit and emergency lighting, fire alarm system and fire sprinkler system to accommodate the receiving, storage and shipping of new electric meters. ACKNOWLEDGEMENT:1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with 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 Building Official before being authorized under any circumstance. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. 12 April 2022 Signature Date City of Everett Official Use Only PERMTF16 (Revised 21812021) Y2—