11201 3RD AVE SE BLDG 40 2026-05-05

BUILDING PERMIT APPLICATION 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)425257.8810 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 11201 3rd Ave SE PARCEL#: 00706204000100 clTr Everett STATE WA Z,, 98208 SUITEIUNIT#: Building 40 FLOOR#: Roof ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Woodside A Condos LEGAL DESCRIPTION for new construction: Short Platdsubdivisiom Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Liz Devall OWNER MAILING ADDRESS: STREET 1133 164th St SW cny Lynwood STATE WA ziP 98087 OWNER PHONE:4253889906 OWNER EMAIL: hoamamagement@c2lnhr.com CONTRACTOR COMPANY NAME:Four Seasons Roofing WA STATE CONTRACTOR LICENSE#(REQUIRED):FOURSRS016QA ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 36927 CONTRACTOR ADDRESS: STREET 17903 SR 9 SE cnY Snohomish STATE WA xlp 98296 CONTRACTOR PHONE:(425)388-9906 1CONTRACTOR EMAIL:tiana@fourseasonsrooflng.com PRIMARY CONTACT: DOWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE.(425)388-9906 Tiana Brown CONTACT EMAIL:tiana@fourseasonsroof.com BUILDING INFORMATION VALUATION OF WORK:$43603 1ASSOCIATED LAND USE PROJECT# if a Iicable : a ua Ion Shall Include the praVAHIng fairma et value of all labor,mate a s,and equipment M ad to com Isle the M el er Actualy palaor not. EXISTING USE OF BUILDING:Commercial PROPOSED USE OF BUILDING:Commercial-no change HEAT SOURCE: ❑Gas []Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: I]Commercial []Accessory Structure TYPE OF PROJECT(check at/that apply): ❑New Construction ❑Addition ❑Remodel URepair ❑T.I, ❑Change of Use ❑Modular []Portable ORe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Remove existing roofing to roof deck, provide new underlayment and asphalt shingles. ACKNOWLEDGEMENT-d 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 authoraad under any circumstance.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 13 Z 5 0 3 ! 0� 71ana Cooper D'tu.'MM`azmiboiss{dw 312112025 Owner/Authorized Agent Signature Date (Revised 2IM02f)