Section 1 - Property Information County(Required) Adams Asotin Benton Chelan Clallam Clark Columbia Cowlitz Douglas Ferry Franklin Garfield Grant Grays Harbor Island Jefferson King Kitsap Kittitas Klickitat Lewis Lincoln Mason Okanogan Pacific Pend Oreille Pierce San Juan Skagit Skamania Snohomish Spokane Stevens Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima
Section 2 - Owner Information
Section 3 - Applicant Information Owner authorization(Required) Letter of Authorization(Required) Please upload a letter or email from the owner authorizing you and/or your organization to submit the application and manage the project.
Preferred Contact(Required) Check all that you are comfortable with:
Section 4 - Building Description Historic Use of the Theater(Required) Please summarize the type(s) of entertainment the theater venue historically offered (eg. projected movies, plays, musicals, concerts, community/commercial use, use by notable persons, etc.)
Current Use of the Theater(Required) Funding priority is given to historic theaters that are still used as such. If your theater is not currently in use as a public or commercial entertainment venue, but you plan to restore the theater to such use after implementing the grant project, please detail that here as well.
Historical and Cultural Significance(Required) Please describe the relative historical and cultural significance of the theater for which grant funds are being
requested. The relative historical and cultural significance of the theater as a whole is a primary consideration of
the Theater Advisory Committee as they review grant applications. In other words, please explain how this theater is important to local or state history and/or the community it serves. || You may also upload the local, state, or nation register nomination forms if available.
Designation Status of the Property(Required) If you have questions about your building’s eligibility or if it is not yet listed on a historic register, please contact Michael Houser, the State Architectural Historian, before completing this application: michael.houser@null dahp.wa.gov or (360) 890-2634. Check all that apply:
Other Restrictions
Is the property protected through a conservation easement, transfer of development rights, or any other program providing conservation / preservation incentives? If yes, explain. For easements, provide the name of the easement holder and the easement term:
Section 5 - Building Condition Assessment
Roofing(Required) Foundation(Required) Exterior Walls(Required) Marquee/Signage(Required) Interior Walls(Required) Interior Flooring(Required) Windows and Doors(Required) Systems: HVAC, Plumbing, Electrical, etc.(Required) Stage (including Curtains, Lights, and Mechanical Features)(Required) Audience Seating(Required) Box Office(Required) Interior Decorative Features(Required) Utility Spaces (Offices, Storage, etc.)(Required) Overall Accessibility(Required) Theater Conditions Description(Required) Describe in the detail the noteworthy conditions of the building elements above to illustrate the exact need or urgency for grant support.
Theater Maintenance and Repair History(Required) To the best of your knowledge, describe any major repair work or restoration projects that have been completed on this property and the approximate cost of those major projects.
Section 6 - Project Proposal & Budget
Work Types(Required) Check all that apply:
1A. Building Shell & Structure - Project Description Please describe in detail the steps of this phase of the project including treatments, techniques, and materials used.
2A. Theater Features - Project Description Please describe in detail the steps of this phase of the project including treatments, techniques, and materials used.
3A. Building Systems & Utility - Project Description Please describe in detail the steps of this phase of the project including treatments, techniques, and materials used.
4A. Accessibility Improvements - Project Description Please describe in detail the steps of this phase of the project including treatments, techniques, and materials used.
GRANT REQUEST Typically, the grant request is 50% of the project total cost, which is a 1:1 match, up to $50,000. If the theater is located in a "distressed" county as defined by the WS Employment Security Department, then grant requests may be up to 75% of the project total cost, which is a 1:3 match, up to $50,000. To verify "distressed" status, please visit:
esd.wa.gov/labormarketinfo/distressed-areas Applications that offer more match than the minimum requirements may be scored higher.
Section 7 - Cash Match and In-kind Match Worksheet
• Cash Match : Funds from the owner/applicant which can go toward both hard costs (purchasing materials, hiring contractors) and soft costs (architectural designs, structural assessment, permitting, etc.).
In-kind Labor : Any work donated to the project by the owner or other volunteers (valued at $25/hr) or donated
professional services that can be valued at the appropriate professional rate.
In-kind Materials : Any materials already on hand that are donated to the project. To count materials as in-kind match, documentation (such as a product page from a website) must be provided to demonstrate the value of those
donated materials.
In-kind Equipment : Any major equipment already on hand that is donated for use during the project that would
otherwise have to have been rented, such as crane, scissor lifts, electric planer, etc. To count equipment as in-kind
match, documentation (such as a product rental page from a website) must be provided to demonstrate what the
equipment would have cost if it had been rented.
1F. Building Shell & Structure - Are the matches fully committed yet? 2F. Theater Features - Are the matches fully committed yet? 3F. Building Systems & Utility - Are the matches fully committed yet? 4F. Accessibility Improvements - Are the matches fully committed yet? Securing Funds(Required) If you marked “no” for any of the project phases, briefly explain your plan for securing the funds necessary to implement the
project before the proposed start date of that phase.
Financial Need(Required) How critical is a Historic Theater Grant in terms of completing this project? How will you proceed if you receive a reduced grant or no grant this year?
Experience & Qualifications(Required) If you are planning to complete the project work yourself, please describe your experience renovating or restoring this or any other historic properties in the last ten years. If you plan to employ a contractor or other professional for your project, please provide their contact information here and include a one-page summary of their experience working on historic buildings as an attachment.
Section 8 - Public Benefit
Preservation Easement(Required) If a grant is awarded, the owner will be required to enter into an easement on the property to ensure the building is
not adversely impacted by future action, such as demolition or inappropriate alteration. The term of the easement
will be 5-15 years, depending on the amount of the grant award. If awarded a grant, will you agree to enter into this easement?
The answer should be "Yes". If awarded a grant, the owner must enter into a preservation easement in order to be reimbursed grant funds. If you are not the owner, please ensure that they too understood and comply with the easement requirement prior to submitting the application.
Public Engagement(Required) Please describe the public engagement, if any, at your theater. You may include the frequency of events, number and demographic of visitors, and visual/physical presence within a commercial corridor (Downtown, Main Street, etc). While private or commercial use is expected, theaters that feature public events, host nonprofit causes, and welcome a diverse audience through accessible programming may be scored higher.
Long Term Maintenance(Required) Describe the plan in place to maintain the property for a period of at least 10 years and how this project will contribute to this plan.
How has the COVID-19 pandemic impacted your theater's operations, revenue, and visitorship? A survey was conducted in April 2021 which found that theaters were uniquely impacted by the public health crisis - which in part provided the final support needed to enact this grant program. Your detailed answer here could help justify the continued funding and expansion of the program in the future.
Additional Information Please add any additional information pertaining to the proposed scope of work and the overall preservation of your theater that you were unable to include in other sections.
Section 9 - Attachments null preservewa.org immediately to let us know that you intend to submit attachments separately.Please use the preferred file naming: "Theater Name - Descriptive Title" such as "Trust Theater - Marquee Photo".
Attachments Checklist File Upload Preferred file naming: "Theater Name - Descriptive Title" such as "Trust Theater - Marquee Photo".
Section 10 - Certification and Submission I certify to the best of my knowledge that the information provided in this application is complete and accurate.
