3000 ROCKEFELLER AVE COURTHOUSE 2025-04-18

BALDING PERMIT APPLICATIR CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3000 Rockefeller PARCEL #: 00439171600000 CITY Everett STATE WA ZIP 98201 SUITE/UNIT #: Courthouse FLOOR #: 3rd ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): Snohomish County Courthouse LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Snohomish County Facilities & Fleet OWNER MAILING ADDRESS: STREET 3000 Rockefeller Ave. M/S 404 CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425.388.31 54 OWNER EMAIL: Jeff. Hencz p@Snoco.Org CONTRACTOR COMPANY NAME: TBD cm yl TIr'Au t10 r, WA STATE CONTRACTOR LICENSE #(REQUIRED): d I "I L 9313 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Jeff H e n cz CONTACT PHONE:425.388.31 54 CONTACT EMAIL: Jeff.Hencz@Snoco.org BUILDING INFORMATION VALUATION OF WORK: $910,000 ASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: Courthouse PROPOSED USE OF BUILDING: Courthouse HEAT SOURCE: ❑Gas L71ectric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: QCommercial [-]Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair R(I. ❑Change of Use ❑Modular []Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Tenant improvements to add a new courtroom to the third floor of the existing courthouse. 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # B-ZZ00 0 (Revised 412112022)