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E BaDING PERMIT APPLICATJ <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 2115 39th Street PARCEL#: 005760-023-000-05 <br /> clry Everett STATE WA zip 98201 <br /> SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): middle of bldg <br /> TENANT/BUSINESS NAME(if non-residential): Encore Doors <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: GKR, LLC(Greg Tisdel) <br /> OWNER MAILING ADDRESS: STREET PO Box 1078 <br /> CITY Everett STATE WA zip 98206 <br /> OWNER PHONE: OWNER EMAIL: greg.tisdel@gmail.com <br /> CONTRACTOR COMPANY NAME: Armata Construction Services, LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): ARMATCS845KU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): -CALL- <br /> CONTRACTOR ADDRESS: STREET 1416 NW 46th St, Ste 105, PMB 135 <br /> CITY Seattle STATE WA ZIP 98107 <br /> CONTRACTOR PHONE: 206.853.8547 CONTRACTOR EMAIL: mike@armataconstruction.com <br /> PRIMARY CONTACT: 0 OWNER CI CONTRACTOR ©OTHER(Please Specify) Structural Engineer <br /> CONTACT NAME: CONTACT PHONE: 425.238.9137 <br /> Jeff Gilliland, P E, SE CONTACT EMAIL: jell@gkstructural.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$200,000 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: door manufacturing,warehouse (F-1) <br /> PROPOSED USE OF BUILDING: no change <br /> HEAT SOURCE: OGas ©Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU DMulti-Family-#Units: I.ZiCommercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition DRemodel ©Repair ❑T.I. ❑Change of Use <br /> DModular DPortable DRe-roof DExterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) DOther: <br /> DESCRIPTION OF WOR <br /> Phase I: Non-structural fire damage repairs to existing metal bldg interior insulation, <br /> lighting, some ventilation items, electrical and fire sprinkler system at the Encore Doors <br /> area in the center of the building. All repairs to match existing, no changes. <br /> Phase I . E !sting inte ' paint room (non-structural) repairs at Encore Doors area of <br /> the buildi - to be sub ' ed under separate submittal at a later date. <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 being authorized under any circumstance.I am the owner,or tam authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Jeffrey Gilliland D 202110?211, ;M 7/21/21 VAI61' 0(4)2— <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />