1302 SE EVERETT MALL WAY 2024-10-24

tim BOLDING PERMIT APPLICAN 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1302 SE Everett Mall Way Suite B PARCEL#: 28051800402400 Gin, Everett STATE WA ZIP 98208 SUITE/UNIT ger Sere. (® --FLOOR ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Trader Joe's LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Brixton Capital OWNER MAILING ADDRESS: STREET 120 S. Sierra Ave CITY Solana Beach STATE CA ZIP 92075 OWNER PHONE:(619)694-6961 OWNER EMAIL: kgodat@brixtoncapital.com CONTRACTOR COMPANY NAME:J. Hughes Construction, inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):JHUGHC1051 P6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57185 CONTRACTOR ADDRESS: STREET PO Box 12750 cln. Mill Creek STATE WA ZIP 98082 CONTRACTOR PHONE:425-745-6341 CONTRACTOR EMAIL:toddm@jhughesconstructioninc.com PRIMARY CONTACT: 0 OWNER i CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:Todd McLean CONTACT PHONE:206-276-1723 CONTACT EMAIL:toddm@jhughesconstructioninc.com BUILDING INFORMATION VALUATION OF WORK:$20,000.00 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:Retail PROPOSED USE OF BUILDING:Retail 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 EAddition ❑✓Remodel ❑Repair ❑T.l. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ElExterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Exit Vestibule 15) E ©1 O V i I ' MAR 12 2024 CITY OF EVERETT Permit Services 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 i am authorized by the owner of this property to perform the work for which application is made, and l comp with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 3-1 -/"J ( PERMIT# 063 Owner/Authorized Agent Signature Date �' I (Revised 4/21/2022)