10 SE EVERETT MALL WAY HASHTAG CANNABIS 2023-04-06

Elm B LDING PERMIT APPLICAllpN 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 1(E)everetteps©everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 10 SE EVERETT MAL WAY PARCEL#: 00396900003300 CITY EVERETT STATE WA ZIP 98205 SUITE/UNIT#: C&D FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):HASHTAG CANNABIS LEGAL DESCRIPTION for new construction: Short Plat/subdivision: SEE ATTACHED Lot No.: 33,34,35 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:LOGAN BOWERS OWNER MAILING ADDRESS: STREET 3524 BAGLEY AVE N CITY SEA I I LE STATE WA ZIP 98103 OWNER PHONE:206-650-8928 OWNER EMAIL: leadership@seattlehashtag.com CONTRACTOR COMPANY NAME:PACIFIC PARTNERS UBI:6034585990010001 WA STATE CONTRACTOR LICENSE#(REQUIRED):PACIFPC821 LO CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 7214 104TH ST E CITY PUYALLUP STATE WA ZIP 98373 CONTRACTOR PHONE:206.255.9554 CONTRACTOR EMAIL:nathan@pacificpartners.team PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR [i OTHER(Please Specify) ARCHITECT CONTACT NAME: CONTACT PHONE:425-260-0413 KEI R VON D RUSKA CONTACT EMAIL:KVONDRUSKA@KVA-ARCH.COM BUILDING INFORMATION VALUATION OF WORK: $124,000 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:RETAIL PROPOSED USE OF BUILDING:REATAIL 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 ❑✓T.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:CREATE A NEW RETAIL CANNABIS SHOP WITH ASSOCIATED EMPLOYYE AREA. NEW NON BEARING WALLS, DOORS AND RELOCATED EXTERIOR DOORS / WINDOWS. RELOCATE ADA PARKING STALLS. UPGRADE RESTROOM TO ADA STANDRDS. 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.I am the owner,or I 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 d 296.200A WAC. City of Everett Official Use Only Z Z 0LZ PERMIT# 0 2>�� Owner/Authorized Agent Signature Date (Revised 2/8/2021) 1�?