1302 SE EVERETT MALL WAY ULTA 2025-07-31

MEI Igell BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submit ai 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)425-257-8910 (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black 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) 380-40553 OWNER EMAIL: kgodat@brixtoncapital.COm CONTRACTOR COMPANY NAME:TBD WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: D OWNER ❑CONTRACTOR 17%?1 OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:206-962-6483 Kevin Marx - MG2 CONTACT EMAIL:kevin.marx@mg2.com BUILDING INFORMATION VALUATION OF WORK:$2,500,000 ASSOCIATED LAND USE PROJECT#(if applic le : RevI22-004 (Valuation shall include the prevailing fair market value of at 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: L'SFR ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: _ uCommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑IAddition Remodel ❑Repair ❑T.l. ❑Change of Use ❑Modular ❑Portable ❑Re-roof []Exterior Alteration ❑Tank(above ground) ❑Accessory Structure 'Thence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other:_ DESCRIPTION OF WORK: RE-DEMISE AND EXTERIOR FACADE IMPROVEMENTS OF EXISTING SEARS BUILDING TO FACILITATE FUTURE TENANTS. 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 (3/ / I PER.NT2�D Owner/Authorized Agent Signature Date (Revised J4//21/2022)