9001 AIRPORT RD BLDG 1 2024 2025-10-21

Di IILDING PERMIT APPLICATION 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 ror Black Ink Only Please) 0, PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET $ Airport Road PARCEL #: 28041400203100 CITY Everett I STATE WA ZIP 98028 SUITE/UNIT #: Building t FLOOR #: t ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): Sno-Isle Tech Center LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Existing Construction Lot No.: (attach copy of long legal description) CONTACT INFORMATION' OWNER NAME: Mukilteo School District #6 OWNER MAILING ADDRESS: STREET 9401 Sharon Drive CITY Everett STATE WA ZIP 98024 OWNER PHONE: 425-356-6629 OWNER EMAIL: JamiesonEC@mukilteo.wednet.edu CONTRACTOR COMPANY NAME: a ermined l.�S LLC— WA STATE CONTRACTOR LICENSE #(REQUIRED . ` ( L. 12 OF EVERETT BUSINESS LICENSE #(REQUIRED):S5l2,?/ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Architect CONTACT NAME: r Andre Co ' Cornerstone Architectural Group CONTACT PHONE: 206-682-5000 CONTACT EMAIL: acoppin@cornerstonearch.com; bbraaten@cornerstonearch.com BUILDING INFORMATION . VALUATION OF WORK. $1,600 ASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include the prevai fair arket value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: Special Training and Schooling PROPOSED USE OF BUILDING: Special Training and Schooling HEAT SOURCE: ❑✓ Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial []Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair ❑✓ T.I. ❑Change of Use ❑Modular ❑Portable ❑Re -roof ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Construct new partial height Wall With hollow metal storefront,to create cafe vestibule. DRE`;`EOVE APR 0 5 2024 CITY F EVERETT ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true and correct. Work done pursGa to' tH s`pe`r 7 m us`icomply 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. l am the owner, or / 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. Owner/Authorized Agent Signature City of Everett Official Use Only Date O (Revised 412112022) G