11831 AIRPORT RD SWIFT STATION 2024-02-09

BOLDING PERMIT APPLICA*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 l(E)everetteps@everettwa.gov l(W)everettwa.gov/permits (Blue or Black Ink On 'Please) PROJE' T SITE;INFORMATION PROJECT SITE ADDRESS: STREET Airport Rd at SR 99 ft t' 3t A'r e�' 9-01 PARCEL#: N/A cln. Everett STATE WA ZIP 98203 SUITE/UNIT#: N/A FLOOR#:N/A ADDITIONAL LOCATION INFORMATION (if applicable):Stop##3201f %d ?—f TENANT/BUSINESS NAME(if non-residential):N/A LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.: N/A (attach copy of long legal description) CONTACT INFORMATION .. .; OWNER NAME:Todd Jacobs (Community Transit) OWNER MAILING ADDRESS: STREET 7100 Hardeson Rd CITY Everett STATE WA ZIP 98203 OWNER PHONE:425-348-2367 OWNER EMAIL: todd.jacobs@commtrans.org CONTRACTOR COMPANY NAME:Craig Wyman (Imagicorps) WA STATE CONTRACTOR LICENSE#(REQUIRED):IMAGII*012MF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 49398 CONTRACTOR ADDRESS: STREET 10500 231 ST WAY NE CITY Redmond STATE WA ZIP 98502 CONTRACTOR PHONE:425-869-0559 +135 CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:455-739-4242 \IV i n d i Shapley CONTACT EMAIL:windi.shapley@otak.com BUILDING INFORMATION VALUATION OF WORK:$39,000 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:BUs Station PROPOSED USE OF BUILDING:BUS Station HEAT SOURCE: ❑Gas ❑Electric ❑OtherN/A BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.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:Bus Shelter Windscreens and Railing DESCRIPTION OF WORK: Installation of new windscreens and railing at Community Transit Swift Green Line bus Station # at the intersection of Airport Rd and SR 99 3O21 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 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.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# ^/ 7 Digitally signed by Wndi A.Shapley Imo® (�+- ®� VVindi A.Shapley Date:2022.02.0711:42.52-W0C, Owner/Authorized Agent Signature Date (Revised 2/8/2021)