3201 SMITH AVE BEZOS ACADEMY 2024-08-07

BLOODING PERMIT APPLICATON 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 I (E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3201 Smith Avenue PARCEL#: 00439074401300 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Bezos Academy Everett Transit Station LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:City of Everett OWNER MAILING ADDRESS: STREET 2930 Wetmore Avenue,Suite 10A CITY Everett STATE WA ZIP 98201 OWNER PHONE:240-257-8700 I OWNER EMAIL: ' et)vt%-f- CONTRACTOR COMPANY NAME: WA STATE CONTRACTOR LICENSE#(REQUIRED): 1 OOF�EVERETT BUSINESS LICENSE#(REQUIRED): �a7 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Bassetti Architects CONTACT NAME: CONTACT PHONE:206-340-9500 Stephanie Tung CONTACT EMAIL:stung@bassettiarch.com BUILDING INFORMATION VALUATION OF WORK: $1,200,000 ASSOCIATED LAND USE PROJECT#(if applicable): (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:Office B(primary),Assembly A3 (minor) PROPOSED USE OF BUILDING:Educational E, Preschool (3-5 years old) HEAT SOURCE: ❑Gas ❑Electric ❑Other 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: DESCRIPTION OF WORK:TENANT IMPROVEMENT WORK TO PROVIDE A 3-CLASSROOM PRESCHOOL ON THE GROUND FLOOR OF THE TRANSIT BUIDLING. 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.I am 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# � Ste hanie Tung Da772 5/12/2022 Owner/Authorized Agent Signature Date (Revised 2/8/2021)