15 SW EVERETT MALL WAY MASSAGE ENVY 2022-08-11

BI40.DING PERMIT APPLICATON CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps©everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET SW Everett Mall Way 15 PARCEL#: 00480201101400 cnv Everett STATE WA ZIP 98204 SUITE/ IT# K&L FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable):Evergreen Summit Retail Center TENANT/BUSINESS NAME(if non-residential): Massage Envy LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) 41: ,.CONTACT;INFORMATIONx OWNER NAME: OWNER MAILING ADDRESS: STREET clrr Bellevue STATE WA ZIP 98004 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME: TBD WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) Property Rep CONTACT NAME: CONTACT PHONE: 425-582-5505 Kate Wittenbrook - Horne CONTACT EMAIL:katew@waremalcomb.com "BUILDING INFORMATION VALUATION OF WORK:$50,000.00 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: B & M PROPOSED USE OF BUILDING: B for the suite HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair CIT.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:The scope of this project is a second generation tenant improvement (B) buisness for use of the same. Tenant is taking a portion of Suite K, the remaining S.F. space shall be a vacant suite. No change of use is anticipated. Construction to include Deolition of Partitions/Doors/ Relies, Ceiling grid and lights where required, and finishes. New construction to include New non-structural demising partition, Pardons, doors, ceiling grid and lights where required, and finishes by tenant. j'►,pI& pn ph ': 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 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# �J� Kate Wittenbrook-Home „��-«��» - -+«p�� ^w-«• B z 2-O I 0 4 0 Owner/Authorized Agent Signature Date (Revised 2/8/2021) r�z