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BUIONG PERMIT APPLICATION" <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 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1300 BRUSKRUD RD PARCEL#: <br /> CITY EVERETT STATE WA ZIP 98208 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable):REROOF <br /> TENANT/BUSINESS NAME(if non-residential):WSP Everett Silver Lake <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: WSP Everett Silver Lake <br /> OWNER MAILING ADDRESS: STREET 2700 116TH ST NE <br /> CITY MARYSVILLE STATE WA ZIP 98271 <br /> OWNER PHONE:(360) 654-1204 OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME: JIMMY'S ROOFING . ('4MY' 4 q.&3 L4.4 <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):)IMMY 933LM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58193 <br /> CONTRACTOR ADDRESS: STREET12809 NE 126th PL <br /> CITY KIRKLAND STATE WA ZIP 98034 <br /> CONTRACTOR PHONE:(425)2822096 CONTRACTOR EMAIL:.J.HOLMES@JIMMYSROOFING.COM <br /> PRIMARY CONTACT: ❑ OWNER V CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT <br /> HOLM ES CONTACT PHONE:4252822096 <br /> CONTACT EMAIL:J.HOLMES@JIMMYSROOFING.COM <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$59632.00 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: WASHINGTON STATE PATROL USE <br /> PROPOSED USE OF BUILDING: STAGING FOR WASHINGTON STATE PATROL <br /> HEAT SOURCE: 1lGas ✓Electric _Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse L.-Duplex ❑ADU ii1Multi-Family-#Units: ✓ICommercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑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:Project Summary: Remove existing metal roof and gable end siding panels, gutters, <br /> and trims. <br /> Replace with standing seam metal roofing and wall panels. Install new gutters, <br /> downspouts, flashings, <br /> and trims. <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 e State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 30 JAN 2024 PERMIT# 13��'r�4'OL „ <br /> 0 er/Authorized Agent Sign — Date (Revised 4/21/2022) �� <br />