220 OLYMPIC BLVD VA OUTPATIENT CLINIC 2025-06-23

Di _ ''s —)C3A7B2-042C-43CE-B23F-E74AB8234E22 rERMIT APPLICATION BUILDING / CHANICAL / PLUMBING / SIGN I likINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:220 Olympic Boulevard PROPERTY TAX#:00606200004102 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) Catalyst Capital TENANT BUSINESS NAME(Commercial): VA Community Based Outpatient Clinic STREET 1800 Avenue of the Stars, Suite 1475 c!Ty Los Angeles STATE California ZIP 90067 484-547-5530 cocco@catalystcap.com oushee STREET3260 118th Ave. S.E., Suite 1000 cin Bellevue STATE WA Z,P 98005 25-746-1000 'dolence@foushee.com CCFOUSHAC1580D IIIMINIMEN011111111111111111111MMIIIMI 024790 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT PHONE:425-957-2136 John Dolence CONTACT EMAIL:jdolence@foushee.com I BUILDING INFORMATION Existing Use of Building:Retail $ vU Proposed Use of Building:Medical Clinic ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑✓Demolition ❑Change of Use DESCRIPTION OF WORK: Demolition of existing building and existing site infrastructure in preparation for construction of a new, two-story+/- 29,217 SF outpatient medical clinic, associated site improvements, landscaping, and utilities. This application is for Demolition Only. Building, Mechanical, and Plumbing will be submittedseparately. W 1-10 -oO4 ASSOCIATED BUILDING PERMIT#(if applicable): � eS` '�O (�L MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATI N Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count ist of Fixtures n/a A/C-Air Handling Units n/a Gas Piping n/a Backflow Preventer(Inside Bldg) n/a Sh er,Tub,or Combo n/a Boiler n/a Gas Range� n/a Clothes Washer n/a�,/fink-Commercial(3-comp,prep,floor) n/a Clothes Dryer n/a HeatPtf"mp&Ductless n/a Dishwasher Sink-Residential(kitchen,bath,bar) n/ Duct System n/a (Remodel) afrigeration n/a Drinking Fountain n/a Sink-Utility, laundry, mop n/a Exhaust Fans(Residential) 'r ^ Commercial Ventilatior n/a Floor Drain V n/a Toilet n/a Exhaust Hood(Type I) _ a (Not Heat/AC system) n/a Hose Bibb n/a Urinal n/a Exhaust Hood(Type II) ! n/a Water Heater n/a Interceptor-Grease n/a Waste/Water Piping Repair n/a Exhaust Hood(Resi.r`tial) n/a Wood Stove n/a Interceptor-S Oil n/a Water Service(behind meter) n/a Forced Air Syste n/a Other: n/a Medical n/a Water Valves or Fixtures n/a Gas Fireplace,."sert/Log n/a Roof ains n/a Water Heater SPRINK 'R/ SUPPRESSION SYSTEM n/a ewage Ejector or Sump Pump n/a Other: Water Suppression System n/a •No. of Heads Chemical Suppression System n/a No.of Heads 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 �/n�,,Do'c'Iu/S,ig/nel'db� cr.. _,,s /1 � � IIVUGLO�l L 07/07/2020i 01— (Revised 10/10/2018)