3700 FEDERAL AVE PORTABLE 7 JACKSON ELEMENTARY 2025-08-07

in DING PERMIT APPLICAir EVERETT CITY OF EVERETT PERMIT SERVICES 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 I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3700 Federal Ave PARCEL#: 00605000500000,29053000302600 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: P7 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. S (ALta WA STATE CONTRACTOR LICENSE#(REQUIRED):PACIFMS033DC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0049802200101704 CONTRACTOR ADDRESS: STREET 13806 45th AVE NE cI1Y Marysville STATE WA Zip 98271 CONTRACTOR PHONE:(360)345-1577 CONTRACTOR EMAIL:bobble.leneker@pacificmobile.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect CONTACT NAME: Zach Ham CONTACT PHONE:(425)609-2315 i CONTACT EMAIL:ZachH@dykeman.net BUILDING INFORMATION VALUATION OF WORK:$9,615.44, i'lASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair marke of all labor,materials,and 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 ❑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 ETank(above ground) ❑Other: DESCRIPTION OF WOR e P7 portable to be installed at Jackson Elementary with applicable site work udin foundation pad, welcome ramp, and landing. ,gi ECEIVE1 FEB 17 2024 J CITY or EVERETT ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pPecitricitheyeritireetsomply 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(�+�1 t — -- 7i Z PERMIT# �Q' r 047 4 ( twner/A or,i d Agent Si nature ate (Revised 4/21/2022)