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® BUILDING 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 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 9700 Holly Dr. PARCEL#: <br /> cirr Everett STATE WA zip 98204 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(If non-residential):Aces High Scoot Re-Cading <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: 9-12 Education Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Mukilteo School District <br /> OWNER MAILING ADDRESS: STREET 9401 Sharon Dr. <br /> cm. Everett STATE WA ZIP 98204 <br /> OWNER PHONE:425-356-6625 OWNER EMAIL: stefansonki@mukilteo.wednet.edu <br /> CONTRACTOR COMPANY NAME:V & R Roofing -' V 2, R S'vkuk !v\t*a L L C- <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):VRSHESM973KM CITY OF EVERETT BUSINESS LiCENSE#!(REQUIRED):4 IO S <br /> CONTRACTOR ADDRESS: sTREET2920 S. Cushman <br /> coy Tacoma STATE WA Zip 98409 <br /> CONTRACTOR PHONE:253-328-5678 CONTRACTOR EMAIL:rObg@VrrOOfing.net <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-305-9857 <br /> Robert Gerlach CONTACTEMAiL:robg@vrroofing.net <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$130,000 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:Education <br /> PROPOSED USE OF BUILDING:Education <br /> HEAT SOURCE: ❑Gas HElectric ❑Other <br /> BUILDING TYPE: ❑SFR !]Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial DAccessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑TA. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑✓Exterior Alteration ❑Tank(above ground) ❑Accessary Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Ot`h-er: <br /> DESCRIPTION OF WORK: Demolish and legally dispose of existing Firssystnr- /lam�p��' 1.00ft <br /> Install new gypsum sheathing �+++ "� <br /> Install 1-layeralr barrier <br /> Install 1-layer rockwoal insulation-mechanically attached <br /> install vented hat channels-16'vertical o.c. <br /> Install new standard color standing seam coping <br /> Clean existing ElFs <br /> Remove and replace existing ping sealant and backer rod <br /> Install new masonry coating to remaining ElFs <br /> Install new masonry sealer at CMU 8 MU water table silt <br /> Obtain applicable building permit <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true end 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 beir euthn'red under any circumstance.)em the owner,or!am authorized by(he owner of this property to perform the work for which application is made, <br /> and I comply with th rate Contractor nw 1'.27 RCW and 296.200A WAC. <br /> City of Everett Official 0 / <br /> Use Only <br /> PERMIT# <br /> 0 511 8/2 02 1 B 21 O S <br /> —' "f <br /> — <br /> Owne tthorized ent Signature Date (Revised 2/8/2021) <br /> t�z <br />