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r r '`"°' <br /> BIDING PERMIT APPLICATI <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requireme t d nuriit er ofcopies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3°2 &Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.gov everettwa,gov/permits. <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION k :: ,•g ; , <br /> PROJECT SITE ADDRESS: STREET 1500 52nd St SE PARCEL#: 28050600100100 <br /> cm' Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Everett Golf and Country Club <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Everett Golf and Country Club <br /> OWNER MAILING ADDRESS: STREET 1500 52nd St SE <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE:Owner's rep 206.239.1807 OWNER EMAIL: amcbride@columbiahospitality.com <br /> CONTRACTOR COMPANY NAME:MRJ Constructors <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):MRJ COL`011 CW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 033097 <br /> CONTRACTOR ADDRESS: STREET 1400 Airport Way South <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE:206.334.1431 CONTRACTOR EMAIL:bgibson@mrjconstructors.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:425.241.0180 <br /> Ka ri n a O g o m o ri CONTACT EMAIL:karinao@jd-arch.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $5 million 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:Clubhouse of the golf course,assembly space, restaurant/bar,lockers, pro-shop,cart-barn and offices <br /> PROPOSED USE OF BUILDING:Remain the same as existing <br /> HEAT SOURCE: ❑✓Gas ❑✓Electric ❑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: Remodel of the exiting club house, addition of conditioned space within the existing <br /> cart barn, addition of conditioned space by enclosing the existing breeze way, addition <br /> of unconditioned vestibule, addition of exterior deck, removal of existing stairs inside of <br /> the building, addition of material lift, addition of new stairs. <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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Kurt Jensen Digitally signed by Kurt Jensen 06/12/2023 PERMIT# <br /> Date:2023.06.12 09:40:47-0T00' o 6 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />