3315 BROADWAY HOPEWORKS STATION 2 2026-01-15

RI ®INCH PERMIT APPLICA1 N 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 or Black Ink Only Please) .-' - PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3315 Broadway Ave 98203 PARCEL #: 01.176100000200 CITY Everett STATE Wa ZIP 98203 SulE/UNIT #: FLOOR #: First ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): Kindred Kitchen LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Hopeworks OWNER MAILING ADDRESS: STREET 3331 Broadway CITY Everett STATE Wa ZIP 98201 OWNER PHONE: 425.610.4931 OWNER EMAIL: renatamaybruck@hopewrks.org CONTRACTOR COMPANY NAME: TBD �V W WA STATE CONTRACTOR LICENSE #(REQUIRED): R L 0-91.pLjCITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 4 2 / &9 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) architect CONTACT NAME: Shin G oto CONTACT PHONE: 206.890.8348 CONTACT EMAIL: shing@dykeman.net BUILDING INFORMATION .. VALUATION OF WORK: $ 450,000.00 ASSOCIATED LAND USE PROJECT # (if applicable): (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: Ground floor business use (B) with multi -family residential above (R-2) and below grade parking (S-2) PROPOSED USE OF BUILDING: unchanged 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: Build -out Of existing tenant Space,int0 a commercial kitchen 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 deviationstherefrom. 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 rlDigitally signed by Shin Goto Shin Got®r 0=Dyk rn E=s Architects, CN=Sn.net, PERMIT # LO=Dykeman Architects, CN=Shin Goto 09.14.2022 9ate. 2022.09.14 14:22:21-07'00' 1 bdj O Owner/Authorized Agent Signature Date (Revised 412112022)