1000 SE EVERETT MALL WAY BASE FILE 2025-10-22

BOIL ^',1VG PERMIT APPLICATIQ ITY 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) PermitServices@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 #: 28051800305401 CITY Everett STATE WA ZIP 98208 SUITE/UNIT #: WA FLOOR M Z 8r,3 ADDITIONAL LOCATION INFORMATION (if applicable): Exterior improvements TENANT/BUSINESS NAME (if non-residential): EVERETT MALL OFFICE PARK BUILDING II (Interior work) JE4f Z- LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach CA of long legal description) CONTACT INFORMATION OWNER NAME: Pietromonaco Jackson Properties Contact: Danny Jackson OWNER MAILING ADDRESS: STREET 7525 SE 24th St, Suite 300 CITY Mercer Island STATE WA ZIP 98040 OWNER PHONE: 206-607-6021 OWNER E L: danny@pjpnw.com CONTRACTOR COMPANY NAME: Unimark Construction LLC dba Skylinej6,onstruction Contact: Josh Eaton WA STATE CONTRACTOR LICENSE #(REQUIRED): UNIMACL801 B4 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 62421 CONTRACTOR ADDRESS: STREET330 - 120th Ave NE Ste 100 cITY Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: 206-625-5117 CONTRACTOR EMAIL: joshe@a skylineconstruction.build PRIMARY CONTACT: ❑ OWNER ❑ CON RACTOR 0 OTHER (Please Specify) Architect CONTACT NAME: Ware Malco b CONTACT PHONE: Kate Wittenbrook-Horne / Karen Wallace CONTACT EMAIL: katew@waremalcomb.com or kwallace@waremalcomb.com BUILDING INFORMATION' - j VALUATION OF WORK: $ 373,472.00 ASSOCIATED LAND USE PROJECT #H-9 pica le (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actual)or not.) EXISTING USE OF BUILDING: Office 2023 PROPOSED USE OF BUILDING: Office CITY OF EVERRET-T HEAT SOURCE: ❑Gas ❑Electric ❑Other Permit Services BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : El New Construction ❑Addition ❑✓ Remodel ❑Repair ❑✓ T.I. ❑Change of Use ❑Modular ❑Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: THE SCOPE OF THIS PROJECT IS TO PROVIDE INTERIOR COMMON AREA BUILDING IMPROVEMENTS TO 2ND AND 3RD FLOORS OF EXISTING OFFICE B FOR USE AS THE SAME. NO CHANGE OF USE IS ANTICIPATED. INTERIOR CONSTRUCTION TO INCLUDE DEMOLITION OF CEILING GRID, ACT TILES AND LIGHT FIXTURES, WHERE NOTED, AND INTERIOR WALL & FLOOR FINISHES. NEW INTERIOR CONSTRUCTION TO INCLUDE NEW GWB CEILING, NEW ACT TILE, NEW LIGHT FIXTURES AND NEW WALL AND FLOOR FINISHES. 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 Digitally signed by Kate Wittenbrook- Home 11 �Maica US, E=katew@Design. CN=Kat m, O=Ware P Kate Wittenbrook-Horne:-M��mb'oU=lntednrDaslgn'DN=KateWmenbroek - Flome : 2023.10.30 14:34:32-OTOD' Owner/Authorized Agent Signature Date (Revised 412112022)