10901 27TH AVE SE 2026-04-13 - Laserfiche WebLink

BUILDING 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)425-257-88101(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 10901 27TH AVE SE PARCEL M 00445400100902 cITY EVERETT STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):MONROE ELEMENTARY SCHOOL LEGAL DESCRIPTION for new construction: Short Plattsubdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:EVERETT PUBLIC SCHOOLS, JENNIFER COLLINS OWNER MAILING ADDRESS: STREET 3900 BROADWAY clr, EVERETT STATE WA ZIP 98201 OWNER PHONE:425-385-4195 OWNER EMAIL: jcollins@everettsd.org CONTRACTOR COMPANY NAME:TBD WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-609-2315 ZACH HAM, DYKEMAN ARCHITECTURE CONTACT EMAIL:zachh@dykeman.net BUILDING INFORMATION VALUATION OF WORK:$45,445.70 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:E- EDUCATIONAL 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 ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: NEW PORTABLE CLASSROOM 3 TO BE INSTALLED AT MONROE ELEMENTARY SCHOOL, ADJACENT TO EXISTING PORTABLES. WILL INCLUDE APPLICABLE SITE WORK INCLUDING FOUNDATION PAD, WELCOME RAMP, AND LANDING. 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# OvJner/Auth rized Ag nt Signatu ` to (Revised 412112022)