8702 7TH AVE SE 2025-12-12 - Laserfiche WebLink

BUILDING PERMIT APPLI �TION EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON I 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 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 8702 7TH AVE SE PARCEL#: 28051800201200 CITY EVERETT STATE WA ZIP 98208 SUITE/UNIT#: P" FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME (if non-residential):EVERETT SCHOOL DISTRICT NO.2 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long agal description) CONTACT INFORMATION OWNER NAME:EVERETT SCHOOL DISTRICT NO. 2 OWNER MAILING ADDRESS: STREET 3900 BROADWAY AVE CITY EVERETT STATE WA ZIP 98201 OWNER PHONE:(425) 385-4195 OWNER EMAIL: Jcollins@everettsd.org CONTRACTOR COMPANY NAME: S+YU.t;4wre-S I r1L WA STATE CONTRACTOR LICENSE#(REQUIRED): �f}C I F M S 0 33D0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): �j I Z 4-Z CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 609-2315 ZAC H JHAM CONTACT EMAIL:ZachH@dykeman.net BUILDING INFORMATION VALUATION OF WORK: $9,615.44 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 DElectric ❑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 FIT.]. ❑Change of Use ❑Modular ZPortable ❑Re roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Portable 11 to be relocated from Jackson High School to Emerson Elementary School, with applicable site work including foundation pad, welcome ramp, and Iandjn®� APR 2 5 V24 `/ E-TT ACKNOWLEDGEMENT:f have reviewed this application and confirm the information contained herein is true and correct. Work done ursu ( Ic21�(;tyewth PP P F current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first b a razed 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# 0%kner/Aut 0 fized Ag-et+gSignat e D to (Revised 412112022)