906 SE EVERETT MALL WAY HERITAGE BANK 2025-01-24

a. BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WAseINCTON 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)PerrnitServices@everettwa.gov((W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 906 SE EVERETT MALL WAY,BLD. III PARCEL#: 28051800305401 cnv EVE' STATE WA zip 98208 SUITE/U T#: 501 - OOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/B IN S NAME(if non-residenr RITAGE BANK LEGAL DESCRIPTION for new construction: Sho - .Usubdivisi. Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:PIETROMONACO JACKSON OWNER MAILING ADDRESS: STREET 7525 SE 24TH ST, SUITE 300 ciry MERCER ISLAND STATE WA zip 98040 OWNER PHONE:206-607-6021 OWNER EMAIL: danny@pjpnw.com CONTRACTOR COMPANY NAME:T WQ, (1A•21\T M. p Co WA STATE CONTRACTOR LICENSE#(REQUI D): --t't0` �«(4 EVERETT BUSINESS LICENSE#(REOUIRED):59L-k 1 CONTRACTOR ADDRESS: STRE CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER -!CONTRACTOR C✓J OTHER(Please Specify) ARCHITECT CONTACT NAME: CONTACT PHONE:206-682-7525 K EV I N B RO D E R I C K CONTACT EMAIL:kevin@broderickarchitects.com BUILDING INFORMATION VALUATION OF IN :545,000 > ASSOCIATED LAND USE PROJECT#(if applicable): Valuation shall include the _vailing fair market v to of all labor materials,and equipment needed to complete the work whether actcally paid or not l EXISTING USE OF BUILDING:B-OFFICE PROPOSED USE OF BUILDFNG:NO CHANGE HEAT SOURCE: ❑Gas ClElectric ❑Other BUILDING TYPE: ( ISFR C 7Townhouse ❑Duplex ❑ADU nMulti-Family-#Units: RICommercial flAccessory Structure TYPE OF PROJECT(check all that apply): Li New Construction ❑Addition ❑Remodel ❑Repair ✓❑T.I. ❑Change of Use ❑Modular ClPortable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: INTERIOR OFFICE TENANT IMPROVEMENT ON THE 5TH FLOOR. SCOPE TO INCLUDE SELECTIVE DEMOLITION OF EXISTING WALLS.AND CEILING TILES AND CONSTRUCTION OF NEW WALLS TO CREATE A NEW HALLWAY AND BREAK ROOM IN SUITE 501. NO E RIOR WORK-INCLUD€D': NO CHANGE IN OCCUPANCY. APR 1 6 2024 di_,; ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained hereb('!i.�i�e�/nr�c��ecrEfuRsu6nt to this permit must comply with current federal,state.and local law.The granting of a permit only authorizes approved work and no de to s thereffin i(r� s first be authorized in writing front the Building Official before being authorized under any circumstance.I am the owner.or I am authorized by th i 'Ais*,STAr!'/ b'�rm 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 i -4 ------- ( 4.10.2024 1747-l'�C—I 03 2 ....,.. Owner/Authorized Agent Signature Date (Revised 4/21/2022)