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0 <br />EVERETT <br />WASHINGTON <br />131 Jet -.DING PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />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 I (W) everettwa.gov/permits <br />(Blue<orBlacklrik Only P/ease) : , 00, .. PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET $ Airport Road PARCEL #: 28041400203100 <br />CITY Everett STATE WA ZIP 98028 <br />SUITE/UNIT #: Building 2 FLOOR #: nia ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): Sno-Isle Tech Center <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Existing Construction Lot No.: (attach copy of long legal description) <br />CONTACTi1NFORMATION <br />OWNER NAME: Mukilteo School District #6 <br />OWNER MAILING ADDRESS: STREET 9401 Sharon Drive <br />CITY Everett STATE WA ZIP 98024 <br />OWNER PHONE: 425-356-6629 <br />OWNER EMAIL: JamiesonEC@mukilteo.wednet.edu <br />CONTRACTOR COMPANY NAM . <br />WA STATE CONTRACTOR LICENSE #(REQUIRED) <br />L.. <br />EVERETT BUSINESS LICENSE #(REQUI D): <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Architect <br />CONTACT NAME: <br />Andre Coppin, Cornerstone Architectural Group <br />CONTACT PHONE:206-682-5000 <br />CONTACT EMAIL: acoppin@cornerstonearch.com; bbraaten@cornerstonearch.com <br />`$ m BUILIDING'INFORMATION <br />VALUATION OF WORK: $115,800 <br />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: Special Training and Schooling <br />PROPOSED USE OF BUILDING: Special Training and Schooling <br />HEAT SOURCE: ❑✓ Gas ❑Electric ❑Other <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure <br />TYPE OF PROJECT (check a// 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: Roof Overlay at existing Canopy roof, approximately 7,720 .. Erwr <br />APR 0 5 2024 <br />CITY OF EVERETT <br />Permit Services <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. 1 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Owner/Authorized Agent Signature <br />City of Everett Official Use Only <br />PERMIT# �� /I � ,r (� -^ � _GII- G►I� 0 <br />Date (Revised 412112022) <br />�J <br />