405 SE EVERETT MALL WAY 2021-11-02

• PERMIT APPLICATION 12 BUILDING I MECHANICAL I PLUMBING I SIGN /SPRINKLER/DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINCTON (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:405 SE Everett Mall Way Everett,WA 98208 PROPERTY TAX#:28051800304100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): Target#0337 OWNER MAILING ADDRESS: STREET Target 50 South 10th Street,suite 400, cY7y Minneapolis • STATE MN zip 55403 OWNER PHONE: 612-761-6788 aa OWNER EMAIL:Matthew.Flansburg@target.com CONTRACTOR NAME:TBD S k&k,(►s V s A ll ltil,d,11'�q l Vl[, CONTRACTOR ADDRESS: STREET �`fJ CITY STATE ZIP CONTRACTOR PHONE: L a CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): S Ki�' S IA,6 D 5 P.I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ++35s q 1 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR Ell OTHER(Please Specify) Kimsey-Horn CONTACT NAME: CONTACT PHONE:206-800-1889 Taylor Bellefeuille CONTACT EMAIL:Taylor.Bellefeui€le@klmley-horn.com BUILDING INFORMATION Existing Use of Building:531 Department Stores Contract Price of Work:$9200 Proposed Use of Building:631 Department Stores Heat Source: l21Gas DElectric DDOther BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ©Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ❑Remodel ❑Repair I]T.l. OSIgn ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: Internal remodel of existing floor space inside store to allow for storage of fresh goods to support guest order fulfillment services. n , addition of ref��ridgge�erators ASSOCIA :• r • PE- IT#(if applicable):'Z102'05 Q�00AS -Or-,� iT rceite� f�Ll lirvlluw� MECHANICAL P- -MIT APPLICATION PLUMBING PERMITotr4. 9µ APPLICATION rji rci Fi re Fixture ix re re Fixture court List. urea count List of Fixtures Coup List of Fixtures Count of Fixtures NC—Air Handling Units Gas Piping Bac reventer(Inside Bldg) Sho ,Tub,or Combo Boiler Gas Range Clothes Was -Commercial(3-comp,prep,iloor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) 5 Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain � Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb inal • Exhaust Hood(Type It) Water Heater Interceptor-Grease Was ter Piping Repair Exhaust Hood(Residential) Wood Stove interceptor-San II Water Servlc Ind meter) Forced Air Systems Other: Medical G Water Valves or Fixtur Gas Fireplace/insert/Log Roof ns Water Heater SPRINKLER!SUPPRESSION SYSTEM ewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads 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.lam the owner,or i am authorized by the owner of this property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only I=F�Iv 2/17/2021 P #^ , DI_ O Owner/ ze gent Signature Date (Revised 10/10/2018) l/Z