9001 AIRPORT RD BLDG 3A 2025-10-22

`s 131 HIDING 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 (B`lue or Black`Ink'.OnlyPlease)#• ;` -,'PRO JE CTSITE,1'NFORMATION,` " PROJECT SITE ADDRESS: STREET 8 Airport Road PARCEL #: 28041400203100 CITY Everett STATE WA ZIP 98028 SUITE/UNIT #: Building 3 FLOOR #: n/a 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 EMAlp.yJamiesonEC@mukilteo.wednet.edu CONTRACTOR COMPANY NAME.-elleSSerminad C-- rl`(0�0 L.L� WA STATE CONTRACTOR LICENSE #(REQUIRED)II�'t I OF EVERETT BUSINESS LICENSE #(REQUIR ): CONTRACTOR ADDRESS: STREET CITY STATE zip CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Architect CONTACT NAME: Andre Coppin, Cornerstone Architectural Group CONTACT PHONE: 206-682-5000 CONTACT EMAIL: acoppin@cornerstonearch.com; bbraaten@cornerstonearch.com BUILDING INFO.RMATIO_N.-_ VALUATION OF WORK: $ 207,000 ASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include the prevailing fair market 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 El Exterior Alteration ❑Tank (above ground) []Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Roof overlay at North portion of existing roof, approximatnixt 1 196tOVERD APR 0 5 l", 0 CITY OF EVERETT Permit 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 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. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # tI Z VI� Owner/Authorized Agent Signature Date (Revised 412112022)