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- City of Everett Permit Services <br /> Permit Number: TANK2402-003 <br /> TANK PERMIT Permit Subtype: NEW ABOVE GROUND TANK <br /> EVERETT (COMMERCIAL PROPERTY) <br /> Date Issued: 4/9/2024 <br /> WASHINGTON Request Inspections: On line Perm its.everettwa.gov <br /> PERMIT INFORMATION: <br /> SITE ADDRESS: 7000 HARDESON RD PARCEL#: 28041100101800 <br /> DESCRIPTION: Mobile Hydrogen Refueler TENANT: <br /> NOTES: PERMIT VALUATION: $35,000.00 <br /> CONTACT INFORMATION: <br /> OWNER:Community Transit PHONE: (425)348-7100 <br /> MAILING ADDRESS: 2312 W.Casino Road Everett,WA 98203 EMAIL: stephan.kimbrough@commtrans.org <br /> APPLICANT:Stephan Kimbrough PHONE: (425)213-9428 <br /> MAILING ADDRESS: 2312 W.Casino Road Everett,WA 98203 EMAIL: stephan.kimbrough@commtrans.org <br /> CONTRACTOR: FORMA CONSTRUCTION COMPANY PHONE: (360)754-5788 <br /> MAILING ADDRESS: 500 COLUMBIA ST STE 201 OLYMPIA,WA 98501 EMAIL: <br /> STATE CONTRACTOR'S LIC#: FORMACC878OR EVERETT BUSINESS LIC#: 54396 <br /> PERMIT FEES: <br /> DESCRIPTION COMMENTS FEE AMOUNT DATE PAID <br /> Percent Credit Card Fee $2.76 4/9/2024 <br /> PLANNING TANK REVIEW $10.00 4/9/2024 <br /> FIRE TANK REVIEW $23.50 4/9/2024 <br /> PW TANK REVIEW $28.50 4/9/2024 <br /> BUILDING TANK $58.00 4/9/2024 <br /> TOTAL:$122.76 <br /> PERMIT DETAILS: <br /> Number of Tanks: 100 Size of Tanks: 10K Gallons or Under <br /> Type of Tanks: Composite <br /> PERMIT REQUIREMENT: DETAILS: <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for <br /> damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use here to <br /> applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. <br /> VALIDITY/EXPIRATION: <br /> Work authorized by this permit must be started within 180 days of date permit is issued and thereafter is to be diligently pursued to completion.This permit may <br /> be canceled by the city upon any stoppage of work on this project over 180-day duration. Each inspection extends the expiration date 180 days to keep the <br /> permit open while work is active. <br /> EVERETT 3200 Cedar Street Everett,WA 98201 Permit Number:TANK2402-003 <br /> WA S H I N G TO N PermitServices@everettwa.gov Page 1 of 2 <br />