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40116, <br />W=06*11lan By" <br />€Minn I)Mtor <br />Aviation Revitalization Loan <br />Program Application <br />7702 Terminal Street SW <br />Date of Request <br />Tumwater, Washington 98501-7264 <br />09/28/2020 <br />1 Applicant <br />2 Project to be Managed by: <br />Applicant's Authorized Representative: <br />Company: Century West Engineering <br />Name: Benjamin West <br />Name: Kurt Addicott <br />Title: Director of Airport Operations <br />Address: 19515 North Creek Parkway <br />Address: 205 W. 5th Avc <br />Address 2. Suite 3i2 <br />Address 2: #105 <br />city: Bothell State: wa zip: 98011 <br />city: Ellensburg State: wa zip: 98926 <br />Phone: 425-286-6602 Cell: 425-941-6235 <br />Phone: 509-312-2017 Cell: 509-312-2017 <br />Email: kaddicott(acenturywest.com <br />Email: beniamin.west(d,)co.kittitas.wa.us <br />Federal Tax ID: 91-6001349 <br />Find your legislative and congressional district at http://app.legTrtia.gov/districtfinder/ <br />3 Airport: FAA Classification: National/Regional Legislative District: 13th <br />D NPIAS ❑ Non-NPIAS State Classification: Regional Congressional District: 8th <br />Enter number of annual commercial equipment enplanement last reported to FAA: General Public Access <br />N/A - General aviation operations only, no commercial enplanements. [,V] Yes ❑ No <br />4 <br />I <br />State Grant <br />Federal Grant <br />I <br />No. <br />Project Name and Description <br />Total Project Cost <br />Local Funds <br />Funds <br />Funds <br />Loan Request <br />1 <br />Hangar Utility & Taxilane <br />485,000 <br />0 <br />0 <br />0 <br />485000 <br />5 Does the airport have an up-to-date Master Plan or ALP ❑✓ Yes ❑ No Date: 08/01/2018 <br />Narrative Report? <br />Does the airport have an approved Airport Layout Plan (ALP)? V1 Yes ❑ No Date: 06/01/2018 <br />Was the annual requirement to review and update Airport Information Z Yes ❑ No <br />System (AIS) data met for the preceding calendar year? <br />Does the airport sponsor have policies to reduce greenhouse gas ❑ Yes ❑✓ No <br />emissions? <br />If yes, submit a copy of the policies. Submitting copy via: Emailing - Electronic Docurr <br />6 Signature of Applicant's Authorized Representative <br />*Only sign lF printing and submitting original paper document, provide signature here. <br />*/F submitting application electronically (PDF document), Email must be sent directly from airport's authorized representative. <br />DOT Form 900-031 <br />Revised 0112020 <br />