1000 SE EVERETT MALL WAY 301, 306 TERRA STAFFING 2025-07-31

Br" DING PERMIT APPLICAT'1N 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 I (E)PermitServices@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1000 SE EVERETT MALL WAY PARCEL#: 28051800305400 CITY EVERETT STATE WA ZIP 98208-2814 SUITE/UNIT#: 301&306 FLOOR#: 3 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):TERRA STAFFING EXPANSION I EVERETT MALL OFFICE PARK II LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:DEBBIE STEPHENS OWNER MAILING ADDRESS: STREET 1000 SE EVERETT MALL WALL, STE 301 CITY EVERETT STATE WA ZIP 98208 OWNER PHONE:425-355-7223 X1069 OWNER EMAIL: debbie.stephens@terrastaffinggroup.corn CONTRACTOR COMPANY NAME:FARWEST TI WA STATE CONTRACTOR LICENSE#(REQUIRED):FARWETI867M4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57540 CONTRACTOR ADDRESS: STREET 6925 216TH ST SW STE Q CITY LYNNWOOD STATE WA zip 98036-7358 CONTRACTOR PHONE:206-755-8430 CONTRACTOR EMAIL:Iohn@farwestti.corn PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER (Please Specify) WARE MALCOMB(ARCHITECT OF RECORD) CONTACT NAME: CONTACT PHONE:425-582-5505 KATE WITTENBROOK - HORNE CONTACT EMAIL:katew@waremalcomb.com �l wan9� oarn rn m(A11b� BUILDING INFORMATION GDIm VALUATION OF WORK: $107,512 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 o cEilvF EXISTING USE OF BUILDING:B-OFFICE PROPOSED USE OF BUILDING:B-OFFICE AUG 1 8 2023 HEAT SOURCE: ❑Gas ❑Electric ❑Other 11 [[�.{1 BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑CommergilTtiQckso tsfiLl tei mi TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel Repair ETA. e angte of!J seJVices ❑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 SCOPE OF THIS PROJECT IS TO INCLUDE EXPANSION FROM SUITE 301 TO SUITE 306 TENANT IMPROVEMENT OF AN EXISTING OFFICE SPACE FOR USE OF SAME. CONSTRUCTION FOR EXPANSION INTO SUITE 306 TO INCLUDE DEMOLITION OF WALLS, DOORS, RELITES, MINOR AREAS FOR CEILING TILE & GRID, LIGHTING, AND FINISHES. NEW CONSTRUCTION TO INCLUDE WALLS, DOORS, RELITES, CEILING TILE&GRID, LIGHTING, AND FINISHES. SUITE 301 INCLUDES MINOR DEMOLITION OF EXISTING MILLWORK AND FLOORING FINISHES. NEW CONSTRUCTION TO INCLUDE NEW MILLWORK TO REPLACE LIKE FOR LIKE AND NEW FLOORING FINISH. ACKNOWLEDGEMENT:1 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 PERMIT# ��ii 8/16/2023 ,�> /ICG WG2ddiPrQN.2 L� 0`�'J Owner/Authorized Agent Signature Date (Revised 4/21/2022)