1302 SE EVERETT MALL WAY ULTA 2025-07-31

11111111 BUILDING PERMIT APPLICATIR 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: STREET 1402 SE EVERETT MALL WAY PARCEL#: 28051800400800 cm, EVERETT STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: GROUND ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):ULTA BEAUTY LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:BRIXTON EVERETT,LLC OWNER MAILING ADDRESS: STREET 120 S SIERRA AVE CITY SOLANA BEACH STATE CA zip 92075 OWNER PHONE:858-367-7127 OWNER EMAIL: eli@brixtoncapital.com CONTRACTOR COMPANY NAME: C ;�/4.O J t.-Ci 't- G N �►'I vt C`�j �L S C ,+ WA STATE CONTRACTOR LICENSE#(REQUIREL, (1G t�/ ��'�1i3�(X�`j CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):�� CONTRACTOR ADDRESS: STREET I ) 7 15 cp!v1 .5 j J G(L. ,_c• CITY 6r4 I( STATE ZIP // ��/7 CONTRACTOR PHONE:G 16'550- 06 CONTRACTOR EMAIL: 1/_A P 4,/,13/1/ C2))1844 C j 71 Q56— PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CHIPMAN DESIGN ARCHITECTURE CONTACT NAME: CONTACT PHONE:8472986900 TOM PYT E L CONTACT EMAIL:TPYTEL@CHIPMAN-DESIGN.COM BUILDING INFORMATION VALUATION OF WORK: $923,000.000 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:MERCANTILE PROPOSED USE OF BUILDING:MERCANTILE HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial EAccessory 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: INTERIOR TENANT IMPROVMENT OF A NEW ULTA STORE 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 WAC. City of Everett Official Use Only PERMIT# ^ I 0 O 3 TOM PYTEL Owner/Authorized Agent Signature Date (Revised 2/8/2021)