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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 1 (E)PermitServices@everettwa.gov l(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2000 Tower Street PARCEL M <br /> cITY Everett STATE WA ZIP 98204 <br /> SUITE/UNIT M FLOOR M ADDITIONAL LOCATION INFORMATION (if applicable):Engineering Building <br /> TENANT/BUSINESS NAME(if non-residential):Everett Community College <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Everett Community College <br /> OWNER MAILING ADDRESS: STREET 2000 Tower Street <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONEA25-388-9565 1OWNER EMAIL: aflaa@everettcc.edu <br /> CONTRACTOR COMPANY NAME:Saybr Contractors, Inc. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):saybrcl033L7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 33082 <br /> CONTRACTOR ADDRESS: ITIEET3852 South 66th Street <br /> CITY Tacoma STATE WA ZIP 98409 <br /> CONTRACTOR PHONE:253-686-0344 1CONTRACTOR EMAIL:pblalock@saybr.com <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253_686_0344 <br /> Paul Blalock CONTACT EMAIL:pblalock@saybr.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $29481.81 ASSOCIATED LAND USE PROJECT#(if applicable):N/A <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:Facilities garage <br /> PROPOSED USE OF BUILDING:Facilities garage <br /> HEAT SOURCE: [-]Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: FICommercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition [-]Remodel [-]Repair ❑T.I. ❑Change of Use <br /> ❑Modular [-]Portable ORe-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:Replace roofing on Engineering Building. Remove existing roofing materials, to <br /> include shingles and underlayment. <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 1 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 /> �J City of Everett Official Use Only <br /> PERMIT# <br /> 3/10/25 <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />