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E <br /> B!LDING PERMIT APPLICATRN <br /> CITY OF EVERETT PERMIT SERVICES <br /> I)/ 1 © V1 [EVERETT SUBMITTAL INSTRUCTIONS:See � �applicable submittal checklist for submittal requiremen a nunGerT �f o esNi�lred foew, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 edar Street 2nd Floor Intake Dox. <br /> CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I Mi . 9tTT <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Permit Services <br /> PROJECT SITE ADDRESS: STREET 1401 Merrill Creek Parkway(Building 5) PARCEL#: 00847000006100 <br /> cliv Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable):Building <br /> TENANT/BUSINESS NAME(if non-residential): Millington at Merrill Creek <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Brenden Kramer <br /> OWNER MAILING ADDRESS: STREET 321 S Burnside Ave <br /> CITY Los Angeles STATE CA ZIP 90036-3269 <br /> OWNER PHONE: 253-548-5429 OWNER EMAIL: brenden.kramer©primegrp.com <br /> CONTRACTOR COMPANY NAME: Polen Property Services LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): POLENPS822J F CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63884 <br /> CONTRACTOR ADDRESS: STREET 4104 SW 327th PL <br /> cln Federal Way STATE WA ZIP 98023 <br /> CONTRACTOR PHONE: 206-841-0881 CONTRACTOR EMAIL: polen.Office@polenpropertyservices.Com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-681-0015 <br /> Angelica Juarez CONTACT EMAIL:Angelica@polenpropertyservices,com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$41,509.02 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: Apartment Community <br /> PROPOSED USE OF BUILDING: Apartment Community <br /> HEAT SOURCE: ❑Gas ❑✓Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU I✓lMulti-Family-#Units:344 ElCommercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ElModular ❑Portable ElRe-roof ElExterior Alteration ❑Tank(above ground) flAccessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:Scope of work: <br /> 1.Prepare and protect grounds for roof removal. <br /> 2.Remove existing one layer of roofing and clean roof deck and gutters. <br /> 3.Install synthetic underlayment. <br /> 4.Install all new 26 ga.metal flashing.This includes 2"drip edge metal,1'x3"starter metal,roof-to-wall step and apron fleshings. <br /> 5.Install GAF starter shingle. <br /> 6.Install GAF Timberline NS®shingle. <br /> 7.Install GAF Z ridge cap shingle. <br /> 8.Replace all vents with RVO' s 38. <br /> 9.Replace all plastic flapper with new metal flappers. <br /> 10.Replace pipe collars with Oatey No-caulk Pre-Painted pipe collars. <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 /> PERMIT# <br /> I 10/16/2023Owner/Authorized ature Date (Revised 4/21/2022) <br /> I <br />