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Bl - DING PERMIT APPLICAT'".N <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETTSUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425-257-8810 i (E) PermitServices@everettwa.qov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 1000 SE Everett Mall Way PARCEL #: 28051800305401 <br />CITY Everett STATE WA ZIP 98208 <br />SUITE/UNIT #: WA FLOOR M N/A ADDITIONAL LOCATION INFORMATION (if applicable): Exterior improvements <br />TENANT/BUSINESS NAME (if non-residential): EVERETT MALL OFFICE PARK BUILDING II ( Exterior Canopies) <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Pietromonaco Jackson Properties Contact: Danny Jackson <br />OWNER MAILING ADDRESS: sTREET 7525 SE 24th St, Suite 300 <br />CITY Mercer Island STATE WA ZIP 98040 <br />OWNER PHONE: 206-607-6021 <br />OWNER EMAIL: danny@pjpnw.com <br />CONTRACTOR COMPANY NAME: Unimark Construction LLC dba Skyline Construction Contact: Josh Eaton <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET330 - 120th Ave NE Ste 100 <br />CITY Bellevue STATE WA ZIP 98005 <br />CONTRACTOR PHONE:206-625-5117 <br />CONTRACTOR EMAIL: joshe@skylineconstruction.build <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Architect <br />CONTACT NAME: <br />Ware Maleomb <br />CONTACT PHONE: Kate Wittenbrook-Horne / Karen Wallace <br />CONTACT EMAIL:katew@waremalcomb.comorkwallace@waremalcomb.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $119,000.00 <br />ASSOCIATED LAND USE PROJECT # (if applicable): <br />(Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF BUILDING: Office <br />PROPOSED USE OF BUILDING: Office <br />HEAT SOURCE: ❑Gas ❑Electric ❑Other <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure <br />TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑✓ Remodel ❑Repair ❑T.I. ❑Change of Use <br />❑Modular ❑Portable ❑Re -roof Z Exterior Alteration ❑Tank (above ground) ❑Accessory Structure <br />❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: <br />DESCRIPTION OF WORK: Exterior building improvements to the existing front North and back South entry <br />canopies. Demolition to include removing portion of existing columns and North <br />canopy, removing portion of existing exterior cladding on front entry of building. New <br />construction to include North entry canopy, exterior cladding on portion of bldg and <br />columns, renovated South entry canopy. <br />ACKNOWLEDGEMENT. • 1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />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 <br />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, <br />and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />CDigitally signed by Kate Wltlenbrook- Home <br />-,DWC-Us, E--katew@waremalcomb.com, O=ware P7C,yo�MIT # ^ <br />Kate Wittenbrook- HorneMaI66mb, OU=Interior Design, CN=Kate Wittenbrook t <br />LIHame \` /`/ <br />Date:t2023.10.3014:37:03-OT00' <br />Owner/Authorized Agent Signature Date (Revised 412112022) <br />