210 SW EVERETT MALL WAY LITTLE PANDAS PLAY CAFE 2025-04-14

BUILDING PERMIT APPLICATC CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 21 O SW Everett Mall Way PARCEL#: 28042400102700 CITY Everett STATE WA ZIP 98204 SUITE/UNIT#: Unit F FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Little Pandas Play Cafe LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See Attached Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Kishan Mistry OWNER MAILING ADDRESS: STREET 3634 79th DR NE CITY Marysville STATE WA ZIP 98270 OWNER PHONE: 509-308-5563 OWNER EMAIL: kishan.mistry09@gmail.com �] CONTRACTOR COMPANY NAME:,JBC General Constructioni�7 ' WA STATE CONTRACTOR LICENSE#(REQUIRED):"JBCGEGC862RT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):44 J1 C4 CONTRACTOR ADDRESS: sTREET2319 S 126th St CITY Seattle STATE WA ZIP 98146 CONTRACTOR PHONE:+1 (206) 355-6039 CONTRACTOR EMAIL:IVan@Jbcconstruct.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR m OTHER(Please Specify)Architect CONTACT NAME: CONTACT PHONE:906-660-0890 Elizabeth Clay, AIA CONTACT EMAIL:elizabeth@claydesignllc.onmicrosoft.com I BUILDING INFORMATION VALUATION OF WORK: $75,000 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: Pay Day Loans PROPOSED USE OF BUILDING: Play Cafe HEAT SOURCE: ❑Gas 1Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: 0Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair mT.l. 0Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) EAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other. DESCRIPTION OF WORK: 11 Tenant Improvement for play cafe MAY 2 9 2024LL)) CITY OF EVERETT Permit Services 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.lam the owner,or lam 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 WAC. City of Everett Official Use Only PERMIT# 62t4S I -'Owner/Authorized A nt Signature Daf (Revised 4/21/2022)