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

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS: Email application & submittal documents to PermitServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1402 SE Everett Mall Way Everett, WA 98208 SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY RCOMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT # (SEPA, PRE-APP, SS, ETC.) IF APPLICABLE: ❑ FRANCHISE/UTILITY COMPANY, ANNUAL BLANKET PERMIT # UTILITY COMPANY'S NAME & JOB #: JOB #: DESCRIPTION O SITE WORK FILL IN ALL QUANTITIES OF WORK BELOW, AS APPLICA ❑ FENCE IN ROW FT IN HEIGHT ❑ DRIVEWAY APRON / CURB CUT FT WIDE @ ASPHALT / CONCRETE PAVING 21,450 SF ❑ RETAINING WALL / ROCKERY IN RIGHT-OF-WAY LF ❑ RETAINING WALL / ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT ElCLEARING / GRADING / FILL / EXCAVATE CY ❑ CUT/BORE IN PAVEMENT (PARALLEL) LF ❑ CUT/BORE IN PAVEMENT (NON -PARALLEL) LF ❑ POLE WORK / AERIAL / OVERLASH LF ADDITIONAL DESCRIPTION (AS NEEDED): DRAINAGE MITIGATION QUESTIONS: STORMWA TER DISCHARGES TO: ❑ Combined Sewer 8 Separated Storm Sewer ❑ Direct Discharge to Snohomish River or Puget Sound TRIGGERED REQUIREMENTS: ❑ MR2 Only 91MR1-5 ❑ MR1-9 Redevelopoment QUANTITY OF PROPOSED HARD SURFACES: Proposed Roof Area: 0 SF Proposed Hardscape: 21,450 SF ITotal New+ Replaced: 1,350 + 20,150 SF The project will include installation of new utilities to serve new tenants and modify existing parking areas and driveways to permit delivery truck access to new tenants. CONTACT INFORMATION OWNER / APPLICANT NAME: Brixton Capital, LP, Kyle Godat OWNER / APP. MAILING ADDRESS: STREET 120 S. Sierra Ave. CITY , Solana Beach, STATE CA ZIP 92075 OWNER / APP. PHONE: 858-380-4053 OWNER I APP. EMAIL: kgodat@brixtoncapital.com `Required for Work in Public Right -of -Way CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): I EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: @ OWNER / APPLICANT ❑ CONTRACTOR @ OTHER (Architect, Engineer, Etc.) CONTACT NAME: Mark Davies CONTACT PHONE: 206 313-1216 CONTACT EMAIL: mdavies@migcom.com 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. 1 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. Kyle Godat Owner/Authorized Agent Signature 01 /17/23 Date City of Everett Official Use Only PERMIT # PW (Revised 412112022)