1302 SE EVERETT MALL WAY TRADER JOES 2025-08-07

E._.LDING PERMIT APPLICAI...oN 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) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue orBlack 'Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1302 SE EVERETT MALL WAY PARCEL #: 28051800402400 CITY everett STATE wa ZIP 98208 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): Everett Mall LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:KYLE GODAT - BRIXTON EVERETT LLC OWNER MAILING ADDRESS: STREET 120 S. Sierra Ave cITY Solana Beach STATE CA zIP 92075 OWNER PHONE: (858) 380-4053 OWNER EMAIL: kgodat@brixtoncapital.COf71 CONTRACTOR COMPANY NAM . L WA STATE CONTRACTOR LICENSE #(REQUIRED): AR(vWC1i,9 0r ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET 4 j 96) ig � j v� C %RC 6 /X /'�� CITY t eL,) S V'�L�J STATE �� ZIP CJ CONTRACTOR PHONE: 1179 1CONTRACTOR EMAIL: j-1y _ PLLIf10.V PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ✓❑ OTHER (Please Specify) Architect CONTACT NAME: Kevin Marx - MG2 CONTACT PHONE:206-962-6483 CONTACT E-P!AIL:kevin.marxCa mg2.com BUILDING INFORMATION VALUATION OF WORK: $200,000 ASSOCIATED LAND USE PROJECT # (if applicable): Rev122-004 (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 ❑✓ 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: DEMOLITION OF EXISTING TENANT IMPROVEMENT TO PREPARE FOR NEW TENANT WORK 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 l Z — D6 Owner/Authorized Agent Signature Date (Revised 412112022)