4404 TERRACE DR 2023-06-23 - Laserfiche WebLink

mil LDING PERMIT APPLICAI*N EVERETT CITY OF EVERETT PERMIT SERVICES 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 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 4404 Terrace Dr PARCEL#: criv Everett STATE WA Zip 98203 SUITE/UNIT#: 8 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Pat Barber OWNER MAILING ADDRESS: STREET 4404 Terrace Dr, Unit 8 cm Everett STATE WA ZIP 98203 OWNER PHONE:425-772-1182 OWNER EMAIL: cabana irI420 g @gmail.com CONTRACTOR COMPANY NAME:SerVprO of N. Everett/ Lake Stevens 1 Monroe WA STATE CONTRACTOR LICENSE#(REQUIRED):SERVPES871 RD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 052265 ✓ CONTRACTOR ADDRESS: sTREET1830Bickford Ave, Ste 101 el-Ty Snohomish STATE WA zip 98290 CONTRACTOR PHONE:360-243-83'13 CONTRACTOR EMAIL:OffCe@ServprOeVerettwa.com PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-870-7860 David Carroll CONTACT EMAIL:dcarroll@servproeverettwa.com BUILDING INFORMATION VALUATION OF WORK:$70,000 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:Residential condominium PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR DTownhouse ❑Duplex DADU ❑Multi-Family-#Units: DCommercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction DAddition ❑Remodel ZRepair DT.I. DChange of Use ❑Modular DPortable ORe-roof ❑Exterior Alteration OTank(above ground) DAccessory Structure ❑Fence over 7ft high ❑RackStorage DPoolMot Tub Drank(above ground) DOther: DESCRIPTION OF WORK: No structural changes are being made. Water damage repairs. Replace insulation and drywall in areas that were removed due to water damage. Separate electrical permits will be pulled if needed. Install all interior finishes as needed. ACKNOWLEDGEMENT: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 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 l 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 — Old w PERMIT# — / ZA9 '''' � ZZo(� ®1-1 Owner/Authoriz d Agent Signature Date (Revised 4/212022) yz _