202 ALDER ST 2025-08-25 - Laserfiche WebLink

ill BUM ING PERMIT APPLICATIii 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 I(W)everettwa.gov/permits (Blue or;Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 202 Alder St PARCEL#: 29043600405700 CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Everett Public Schools LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) ro,, ,= ";.:.CONTACTT INFORMATION :,; ; OWNER NAME:Everett Public Schools EC E[VI's" OWNER MAILING ADDRESS: STREET 3900 Broadway D CITY Everett STATE WA ZJ8822 6 2023 _! OWNER PHONE:(425)385-4195 OWNER EMAIL: jcollins@everettsd.org CITY OF EVERETT CONTRACTOR COMPANY NAME:Pacific Mobile Structures, Inc. Permit Services WA STATE CONTRACTOR LICENSE#(REQUIRED):PACIFMS033DC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6004980220010004 CONTRACTOR ADDRESS: STREET 13806 45th Ave NE CITY Marysville STATE WA zip 98271 CONTRACTOR PHONE:(360)345-1577 CONTRACTOR EMAIL:bobbie.leneker@pacificmobile.com PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect CONTACT NAME: Zach Ham CONTACT PHONE:(425)609-2315 CONTACT EMAIL:ZachH@dykeman.net BUILDING INFORMATION VALUATION OF WOZ 25� ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the pall bor,materials,and equipment needed to complete the work,whether actually paid or not) EXISTING USE OF Bal 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.l. ❑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:Three new school portables to be installed alongside existing school portables at_V'iew Ridge Elementary with applicable site work including foundation pad, welcome ramp, and landing. ACKNOWLEDGEMENT:1 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only • PERMIT#_...... 01- //f/&.3 ?,/J2oi o/ 6 Owner/Au orized A nt Sigdature Pate (Revised 4/21/2022)