4404 TERRACE DR 2025-01-13 - Laserfiche WebLink

BLDING PERMIT APPLICATIO UI N CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASH I NGTON 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#: cm( Everett STATE WA ZIP 98203 SUITE/UNIT#: 8&9 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:Evergreen Terrace Homeowners Association. OWNER MAILING ADDRESS: STREET 4404 Terrace Dr CITY Everett STATE WA ZIP 98203 OWNER PHONE:425-772-1685 OWNER EMAIL: lindakenworthy©msn.com CONTRACTOR COMPANY NAME:SerlprO of N. Everett/ Lake Stevens / Monroe WA STATE CONTRACTOR LICENSE#(REQUIRED):SERVPES871 RD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 052265 CONTRACTOR ADDRESS: STREET1830 Bickford Ave, Ste 101 CITY Snohomish STATE WA ZIP 98290 CONTRACTOR PHONE:360-243-8313 CONTRACTOR EMAIL:Office Q©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:$150,000.00 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:Residential condominium PROPOSED USE OF BUILDING: _ HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse EDuple iercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alt ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot DESCRIPTION OF WORK:No structural change • i ;. Unit #9 replace damaged electrical t Jion, and drywall in affected areas. Rep insulation and drywall in areas that were re % I =ctrical & mechanical / plumbing permits will -, re ups � � shes in both condos 1{ovh o-ns ACKNOWLEDGEMENT:I have reviewed this application and confirm r � n�i ,,,snt to t be authorized in writing pomly with the current federal,state,and local law. The grantingof a permit one auth rQ, '�+- Building Official before being authorized under any circumstance.I am , .. W,,er of this property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200/ ._. City of Everett Official Use Only I PERMIT# i OwtherlAuthorized Age t Signature Date (Revised 4/21/2022)