1000 SE EVERETT MALL WAY 110 & 410 BASE FILE 2025-06-26

Bt"' .DING PERMIT APPLICAT'"`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 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1000 SE EVERETT MALL WAY PARCEL#: 28051800305400 CITY EVERETT STATE WA ZIP 98208.2814 SUITE/UNIT#: #110 8#410 FLOOR#: 1st&4th ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):LWA00310 Everett USFS LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:COLLIERS INTERNATIONAL OWNER MAILING ADDRESS: STREET 601 UNION STREET,SUITE 5300 CITY Seattle STATE WA ZIP 98101 OWNER PHONE.206-223-1262 OWNER EMAIL: vanessa.magnuson@colliers.com CONTRACTOR COMPANY NAME: +3ft" J7f,(L .5-i' 'CA)"� A) "r WA STATE CONTRACTOR LICENSE#(REQUIRED):F-AKVVET1 6;7t4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): S�7S�-/C/o CONTRACTOR ADDRESS: STREET P U QO 79 S CITY Eb M.!,-)A },S STATE � ZIP CONTRACTOR PHONE: � 6 -- 7s 5 -ecf3 D CONTRACTOR EMAIL: J ��w)U 7rv4/`(�5)-fj .c ptit, PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) WARE MALCOMB(ARCHITECTS) CONTACT NAME: CONTACT PHONE:Cindy:425-582-5503/Kate:425-582-5505 Cindy Kang/Kate Wlttenbrook- Horne CONTACT EMAIL:ckang@waremalcomb.com/katew@waremalcomb.com BUILDING INFORMATION VALUATION OF WORK: $$700,000.00 ASSOCIATED LAND USE JECT--#(if applicable): (,� a,�,U S-DI o (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:OFFICE/B PROPOSED USE OF BUILDING:OFFICE/B HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: DCommevUal ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair RrT.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure CFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:The scope of this project includes the First (1st) & Fourth (4th) floors tenant Improvement of an existing office spaces for use of the same. The First floor construction includes demolition of walls, doors, ceiling, lighting, and finishes to create (3) separate suites and a new accessible restroom. The fourth floor is taking the existing suite#410 and expanding into suite#420. Construction includes demolition of walls, doors, ceiling, lighting, and finishes. New construction to include new partition walls, doors, ceiling, lighting, and finishes. Exterior scope: creating a secured fenced in parking area within an existing parking lot. Existing striping to remain, provide new gate &gate operator and chainlink fence with door. 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 tinder any circumstance./am the owner,or/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 WAC. City of Everett Official Use Only PERMIT# s'?' A —D I� Kale wl4lenWook-Home - -+%?,.._.....Pu,•..K a..., ��•�^ Owner/Authorized Agent Signaturert7 Date (Revised 21812021) I/ Z