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ERLDING PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTSUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 305 SE EVERETT MALL WAY PARCEL M 2_©5-�>t�oV `]p <br />clTv EVERETT STATE WA zIP 98208 <br />SUITE/UNIT #: 31 FLOOR M 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): BANK OF AMERICA <br />LEGAL DESCRIPTION for new construction: Short Platisubdivision: Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Jones Lang LaSalle (Tenant Rep) <br />OWNER MAILING ADDRESS: STREET 800 5th Avenue <br />clTv Seattle STATE WA zIP 98104 <br />OWNER PHONE:206.375.4788 <br />OWNER EMAIL: Jim.foster@am.jll.com <br />CONTRACTOR COMPANY NAME:TBD. Bid Phase In April. Will be awarded prior to permit review completion <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ✓❑ OTHER (Please Specify) Architect - Don Henning, AIA <br />CONTACT NAME: <br />Don Henning, AIA <br />CONTACT PHONE:206.654.2092 <br />cONTACTEMAIL:don_henning@gensler.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $ ASSOCIATED LAND USE PROJECT # (if applicable): <br />(Valuation shall include the prevailing fair market falue of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF BUILDING: Business, Retail <br />PROPOSED USE OF BUILDING: Business, Retail <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 OT.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: PROJECT IS A TENANT IMPROVEMENT OF AN EXISTING TENANT SPACE. NO ADDITIONAL BUILDING AREA <br />OR HEIGHT IS PART OF THE SCOPE. SCOPE IS LIMITED TO INTERIOR ONLY INCLUDING BUT NOT LIMITED <br />TO PARTIAL DEMOLITION OF INTERIOR SPACES, NEW FINISHES, AND ASSOCIATED STRUCTURAL ITEMS <br />PER INTERIOR LAYOUT. <br />ACKNOWLEDGEMENT. 1 h viewed 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 cal la . 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 b ng autho ized 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 witt�e s to Contra tors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />��/L, P ITS r ^ �^ D o <br />Date (Revised 21812021) �- <br />CI <br />L <br />