20 SW EVERETT MALL WAY EMERALD SPA 2025-04-14

BIDING 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: STREET20 SW Everett Mall Way PARCEL#: CITY Everett STATE WA ZIP 98204 SUITE/UNIT#: 8 FLOOR#:1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential):Emerald Spa LLC LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Mall & Meridian LLC OWNER MAILING ADDRESS: STREET P.O. Box 997. 8124 Falls Ave SE CITY Snoqualmie STATE WA ZIP 98065 OWNER PHONE:425-888-2993 OWNER EMAIL: CONTRACTOR COMPANY NAME:Mr Q Construction LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):CC MRQCOQC872LE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):63540 CONTRACTOR ADDRESS: sTREET9755 SE 40th St CITY Mercer Island STATE WA ZIP 98040 CONTRACTOR PHONE:206-519-8888 CONTRACTOR EMAIL:didl@mrgllC.Com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify)GC Project Manager CONTACT NAME:James Tan CONTACT PHONE:206-922-8292 CONTACT EMAIL:jaMeStan8292@gmail.com BUILDING INFORMATION VALUATION OF WORK: $1 3000 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 store PROPOSED USE OF BUILDING:Retail store 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:Add partitions (non-full height) to create 4 rooms. See attached drawing. Install shower, sink, clothes washer, dryer, water heater, two receptacles. Note: Reference: Case Number CE21-0422. Installations were already done by owner. General contractor, and trade contractors will review installations and make corrections where necessary before requesting inspections. 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 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 RCl/I and 296.200A WAC. for Mr Q Construction LLC City of Everett Official Use Only p PERMIT# R T Aug22021 V2 \ O DD Owner/Authorized Agent Signature Date (Revised 2/8/2021) 1 9�