6202 ASSOCIATED BLVD BANNER SOLUTIONS 2021-09-22

RIP 111111 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)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6202 Associated Blvd PARCEL#: 28040100302300 CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: 101 FLOOR :• ADDITIONAL LOCATION INFORMATION(if applicable): N/A TENANT/BUSINESS NAME(if non-residenti I):Banner Solutions LEGAL DESCRIPTION for new construction: Short •a ... ' • •rehouse Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:HLD Properties LLC OWNER MAILING ADDRESS: STREET 10600 231 st Way NE CITY Redmond STATE WA Zip 98004 OWNER PHONE:425-454-7040 OWNER EMAIL: j.davis@ fanaco.com CONTRACTOR COMPANY NAME:Northwest Handling Systems WA STATE CONTRACTOR LICENSE#(REQUIRED):CC NOR THW H 275JF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 011598 CONTRACTOR ADDRESS: STREET 1100 SW 7th St CITY Renton STATE WA ZIP 98057 CONTRACTOR PHONE:425-919-3597 CONTRACTOR EMAIL:neilm@ nwhs.com PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-919-3597 Neil M• - . gu e CONTACT EMAIL:neilm@ nwhs.com BUILDING INFORMATION VALUATION OF WO•K: 61,122.00 ASSOCIATED LAND USE PROJECT#(if applicable):N/A (Valuation shall include the prey- ing fair mark: value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUIL N • arehouse PROPOSED USE OF BUILDING:Warehouse 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: Install (79) bays of pallet racking, phase 1 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 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 'th the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER �j 2/25/21 MFD203 O`L Owner/Au orized Agent Signa u Date (Revised 2/8/2021) 6 Z