1302 SE EVERETT MALL WAY TRADER JOES 2025-04-25

E._.LDING PERMIT APPLICA1 ..,N 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 PARCEL#: 28051800402400 CITY everett STATE wa ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Everett Mall LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:KYLE GODAT- BRIXTON EVERETT LLC OWNER MAILING ADDRESS: STREET 120 S. Sierra Ave CITY Solana Beach STATE CA ZIP 92075 OWNER PHONE:(858) 380-4053 OWNER EMAIL: kgodat@brlxtorlcapital.COm CONTRACTOR COMPANY NAM46.1 Pi '2 —I/J J C A- �i I WA STATE CONTRACTOR LICENSE#(REQUIRED):?ARKWG1. li.b r CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6 S,7?SC CONTRACTOR ADDRESS: STREET ' 4 j J7O e/f VC C/RCL e`er / CITY f/l��L SV �J STATE ZIP f�f t V67 CONTRACTOR PHONE: 7 7, /- 1979 CONTRACTOR EMAIL: 0-1/1/ _ PRIMARY CONTACT: CIOWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:206-962-6483 Kevin Marx MG2 CONTACT EMAIL:kevin.marx@a mg2.com BUILDING INFORMATION VALUATION OF WORK: $200,000 ASSOCIATED LAND USE PROJECT#(if applicable): RevI22-004 (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: G✓'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:DEMOLITION OF EXISTING TENANT IMPROVEMENT TO PREPARE FOR NEW TENANT WORK 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 and 296.200A WA C. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)