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B•DING PERMIT APPLICATSN <br /> CITY OF EVERETT PERMIT SERVICES D \O L I�� ! <br /> EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements number of copies required fo fe4ew, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 320 dar S r2ra tfloROr}take D ,pbox. <br /> CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.go )ev a.g /p khflt.b <br /> (Blue or Black Ink Only Please) U PROJECT SITE INFORMATION <br /> ;ITY or EVERETT <br /> PROJECT SITE ADDRESS: STREET 32.% SMITH AVE PARCEL#: 004390744! frmit ,SPrvices <br /> CITY Everett STATE WA Zip 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential):Bezos Academy Everett Transit Station <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:City of Everett <br /> OWNER MAILING ADDRESS: STREET 2930 Wetmore Avenue,Suite 10A <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:240-257-8700 OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Corti Constrcution Inc. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CORTIC1838J0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 64719 <br /> CONTRACTOR ADDRESS: STREET4025 148th Ave NE <br /> cm ' Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-531-8265 CONTRACTOR EMAIL:ted.spicer@corticonstruction.com <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) Bassett'Architects <br /> CONTACT NAME: CONTACT PHONE:206-340-9500 <br /> Stephanie Tung CONTACT EMAIL:stung@bassettiarch.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$25,000 ASSOCIATED LAND USE PROJECT#(if applicable): <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:Education E, Preschool(3-5 Years Old) <br /> PROPOSED USE OF BUILDING: <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): New Construction ❑Addition ❑Remodel ❑Repair ETA. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:Adding to existing outdoor fence, including 2 fence gates with push bar and access <br /> control devices. Please see attached site plan and code sheet with revision cloud <br /> designated as Permit #1. <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.I am the owner,or I am 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 /> Stephanie Tung 09:31 Date::56 037. <br /> 6 4/26/23 PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />