1604 BROADWAY EL GARCIA MARKET 2025-04-11

IMO eilLDING PERMIT APPLICAS)N CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WAbHiNGTON 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 1604 BROADWAY AVE PARCEL#: 00438233602900 CITY EVERETT STATE WA Zlp 98021 SUITE/UNIT#: A&B FLOOR#: FIRST ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential):EL GARCIA MARKET LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:ROXANA CASTRO OWNER MAILING ADDRESS: STREET 1604 BROADWAY AVE CITY EVERETT STATE WA ZIP 98021 OWNER PHONE:425-780-9177 OWNER EMAIL: castroroxy2351@gmail.com CONTRACTOR COMPANY NAME:MC PAINTING AND SERVICES WA STATE CONTRACTOR LICENSE#(REQUIRED):MCPAIPS820BP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): e°42I770 CONTRACTOR ADDRESS: STREET 242 6TH ST cnTy GOLD BAR STATE WA ZIP 98512 CONTRACTOR PHONE:206-786-4669 CONTRACTOR EMAIL:Perezcortezmoises@grnail.com PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) DESIGNER CONTACT NAME: CONTACT PHONE:206-227-2131 LU I S MART I N EZ CONTACT EMAIL:luism@lmdesigngroup.com BUILDING INFORMATION VALUATION OF WORK: $70,000 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:RETAIL PROPOSED USE OF BUILDING:RETAIL 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 1 1T.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: COMBINE UNITS A AND B ACKNOWLEDGEMENT:1 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 WAC. City of Everett Official Use Only Digtally signed by Las Martinez Luis M a rt i n ez PERMIT# DN C=US,E=luism@Imdesigngroup.com,CN=Luis 08.10.22 pa, z022 08.10 12 53 18-07'00� ;CC2'.D S - 0 6 9 Owner/Authorized Agent Signature Date (Revised 4/21/2022) Z