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E B(DING PERMIT APPLICATA/1k <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 /> cITY 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: ❑OWNER ❑CONTRACTOR ©OTHER(Please Specify) Structural Engineer <br /> CONTACT NAME: �+ CONTACT PHONE: 425.238.9137 <br /> Jeff Gilliland, P E, S E CONTACT EMAIL: jell@gkstructural.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$175,000 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: ❑Gas ©Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: F 1Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check al/that apply): El New Construction ❑Addition ❑Remodel ®Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ORe-roof ❑Exterior Alteration flank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:P ase .Non-structur fi damage repai existing meta dg interior insulation,lighting,some ventilation items,electrical <br /> an fi sprinkler syste at the Encore Door rea in the ce er of the building. All repairs to match existing,no changes. Ref <br /> B21 62 <br /> Phase II:Existing interior paint rooms fire damage repairs at Encore Doors area of the building. Repair fire-rated wall&mezz <br /> floor ass'ys. Retrofit mezz lateral system. Repair/replace specialized ventilation&automatic <br /> overhead fire doors to match existing in conjunction and approval from Fire Marshall. All repairs to match existing,no change <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 I am 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 /> PER 164 <br /> �j� <br /> Jeffrey Gilliland `, '33„'2°� " 7/30/21 MILI01 —O 1" <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) t <br /> I/Z <br />