3700 FEDERAL AVE PORTABLE 6 JACKSON ELEMENTARY 2025-08-07

BUIL)ING PERMIT APPLICATION 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)PermitServices@everettwa.gov C(Vtl)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3700 Federal Ave PARCEL#: 00605000500000,29053000302600 c1T1' Everett STATE WA ZIP 98201 SUITE/UNIT#: P6 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Everett School District No.2 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Everett School District No.2 OWNER MAILING ADDRESS: STREET 3900 Broadway CITY Everett STATE WA ZIP 98201 OWNER PHONE:(425)385-4195 OWNER EMAIL: Jcollins@everettsd.org CONTRACTOR COMPANY NAME:Pacific Mobile Structures, Inc. rj ..LI X WA STATE CONTRACTOR LICENSE#(REQUIRED):PACIFMS033DC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 8022 4 CONTRACTOR ADDRESS: STREET 13806 45th AVE NE clry Marysville STATE WA ZIP 98271 CONTRACTOR PHONE:(360)345-1577 CONTRACTOR EMAIL:bobbie.leneker@pacificmoblle.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Architect CONTACT NAME: Zach Ham CONTACT PHONE:(425)609-2315 CONTACT EMAIL:ZachH@dykeman.net BUILDING INFORMATION VALUATION OF WORK:$9, - (0 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prey g fair marke. equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: PROPOSED USE OF BUILDING:E-Educational HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑✓Portable ORe-roof DExterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑Ra torage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WOR . NeW 6 portable to be installed at Jackson Elementary wit �' . I to work including foundation pad, welcome ramp, and landing. O p MIE FEB 17 2024 CITY OF EVERETT Permit Servitieb 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 1 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# 1-7 2:74 D'Por„N-10 (---( wner/A ri ed Si nature Date` (Revised 4/21/2022)