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NNE <br /> BUII�NG PERMIT APPLICATI. <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or'Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 11625 Airport Road PARCEL#: 00537900005402 <br /> CITY Everett STATE WA ZIP 98204 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential):Sonrise Christian Center <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: See attached (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Sonrise Christian Center <br /> OWNER MAILING ADDRESS: STREET 11625 Airport Road, Suite D <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE:(425) 355-9129 OWNER EMAIL: jiml@isonrise.org <br /> CONTRACTOR COMPANY NAME:Church will act as own contractor <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) BPH Architects <br /> CONTACT NAME: CONTACT PHONE:(425)447-4701, Ext. 14 <br /> Steve Hammer CONTACT EMAIL:steve@bpharch.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$150,000 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:Church, A-3 <br /> PROPOSED USE OF BUILDING:Church, A-3 <br /> HEAT SOURCE: ❑✓Gas ElElectric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ['Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑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:WORSHIP CENTER REMODEL <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 compl ith the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# � t 0 0 ^�/ 5 <br /> sreone7 Hammer I <br /> zzs iz:orav urar 10/5/2023 <br /> wner/Authorized Agent Signature Date (Revised 2/8/2021) <br />