405 SE EVERETT MALL WAY 2021-11-02

=iss4111 PERMIT APPLICATION BUILDING 1 MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwagov I 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, cm( Minneapolis - STATE MN ZIP 55403 OWNER PHONE: 612-761-6788 OWNER EMAIL:Matthew.Flansburg@target.com CONTRACTOR NAME:TBD k(kIVISk \) SA B(l1.\1d I A3 IVX CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: A CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): S K f'1 N S U p t g-f/ Imo- CITY OF EVERETT BUSINESS LICENSE N(REQUIRED): 44 3 gal PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR CZ7 OTHER(Please Specify) Kimley-F-Iorn CONTACT NAME: CONTACT PHONE:206-800-1889 Taylor Bellefeuiile CONTACT EMAIL:Taylor.Bellefeuille@kimley-horn.com BUILDING INFORMATION Existing Use of Building:531 Department Stores Contract Price of Work:$9200 Proposed Use of Building:531 Department Stores Heat Source: OGas DElectric ,DOther BUILDING USE: ©SFR ['Townhouse ['Duplex DADU ❑Multi-Family-#Units: ViCommercial ❑Accessory Structure Type of Project: ❑New ❑Addition DRemodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler DDemolition ❑Change 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. , a o r ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Kt List of Fixtures Count List of Fixtu A/C—Air Handling Units Gas Pipin Backflow Preventer(Inside etdg) Shower,Tub,o ombo ' r Gas ge hes Washer Sink-Co ercial(3-comp,prep,floor) Clothes er eat Pump&Ductless Dishw er Si esidential(kitchen,bath,bar) 1 Duct System ode!) Refrigeration Drinking Fo aln ink-Utility,laundry,mop Exhaust Fans(Resi I Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood( e II) aler Heater Interceptor-Grease Waste/Water Piping Repair Exhaust H (Residential) Woo ve Interceptor-Sand/Otl Water Service(behind meter) For it Systems Other. Medical Gas Water Valves or Fixtures s Fireplace/insert/Log Roof Drains Wa eater SPRINKLER/SUPPRESSION SYSTEM Se Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT;l 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 tam authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law f8.27 RCW and 296.200A WAC. City of Everett Official Use Only 2/17/2021 PEsTlk 02/676 I Owner/ ze gent signature Date (Revised 10/10/2018) �Zl