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arm BUDDING PERMIT APPLICATI J <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 11625 Airport Road PARCEL#: 00537900005402 <br /> CITY Everett STATE WA ZIP 98204 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential):Sonrise Christian Center <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: See attached (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Son rise Christian Center <br /> OWNER MAILING ADDRESS: STREET 11625 Airport Road, Suite D <br /> CITY Everett STATE WA zip 98204 <br /> OWNER PHONE:(425) 355-9129 OWNER EMAIL: jiml@isonrise.org <br /> CONTRACTOR COMPANY NAME:JD Allison Construction, Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):JDALLC1004K4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 037646 <br /> CONTRACTOR ADDRESS: STREET P.O. BOX 12028 <br /> CITY Everett STATE WA zip 98206 <br /> CONTRACTOR PHONE:(425) 346-5317 CONTRACTOR EMAIL:jeff@jdallison.com <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) BPH Architects <br /> CONTACT NAME: CONTACT PHONE:(425)447-4701, Ext. 14 <br /> Steve Hammer CONTACT EMAIL:Steve@bpharch.com <br /> BUILDING INFORMATION. <br /> VALUATION OF WORK: $195,000 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING:Church, A-3 <br /> PROPOSED USE OF BUILDING:Church, A-3 <br /> HEAT SOURCE: ❑✓Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ONew Construction ❑Addition ❑Remodel ❑Repair ESN. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> Reconfigure 3,432 SF of Existing Multipurpose Room, Existing Meeting Room, and 4 <br /> Existing Storage Rooms into new Fellowship Room (1,987 SF), New Kitchen (843 SF), <br /> New Storage Room (502 SF), and New Electrical Room (100 SF) <br /> 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 <br /> 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 <br /> Building Official before.eing authorized under any circumstance. 1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I co ply with the •tate Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# ( _ <br /> e 0 6 <br /> ./ 2021 0].2612.07:39-0]'00' <br /> uthorized Agent Signature Date (Revised 2/8/2021) I/ <br /> Z <br />