1615 75TH ST SW EVERETT TECHNICAL PARK 2026-05-06

i BUILDING PERMIT APPLICATION 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@everetlwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1615 75th Street SW PARCEL M CITY Everett STATE Washington ZIP 98203 SUITEMNIT M 200 FLOOR#: 2nd floor ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Providence Home Health & Hospice LEGAL DESCRIPTION for new construction: Short Plattsubdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Sabey Corporation-Joe Sabey OWNER MAILING ADDRESS: STREET 1220 Tukwila International Blvd, CITY Seattle STATE Washington ZIP 98168 OWNER PHONE:206-281-8700 OWNER EMAIL: foes@savey.com CONTRACTOR COMPANY NAME:Summit Commercial Construction-Peter Meyer WA STATE CONTRACTOR LICENSE#(REQUIRED):ccsumm 1 cc837L8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 67069 CONTRACTOR ADDRESS: ITREET9700 Harbour Place Suite 125 CITY Mukilteo STATE WA ZIP 98275 CONTRACTOR PHONE:425-533-8204 CONTRACTOR EMAIL:Peter@summitccllc.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-533-8204 Peter Meyer CONTACT EMAIL:peter@summitccllc.com BUILDING INFORMATION VALUATION OF WORK:$ c) k ASSOCIATED LAND USE PROJECT#(if applicable):N/A (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:Business-B occupancy PROPOSED USE OF BUILDING:Business- B occupancy 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:The typical non-structural tenant improvement work within existing premise13,817 SF. office suite 200. T.I. consist of back to back shred OF room and maintain existing Staff break room as shared amenity between adjacent suite 220 through extended shared hallway. ACKNOW GEMENT:l have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with current I dera, late,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 Buildin Offlcial efore 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 1 omply vi It file state Confr tors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 3150 O 5 7 Ow er u or' ed Agent Sig r e ale (Revised 412112022)