1415 75TH ST SW HELION ENERGY 2022-04-29

NEN BOLDING PERMIT APPLICA•N 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 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1415 75TH ST SW PARCEL#: 28041100101000 CITY EVERETT STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):HELION ENERGY LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:ANTHONY PICOTTI OWNER MAILING ADDRESS: STREET 8210 154TH AVE. NE, SUITE 100 CITY REDMOND STATE WA ZIP 98052 OWNER PHONE: OWNER EMAIL: pancotti@helionenergy.com CONTRACTOR COMPANY NAME:TBD WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-2153 ADAM CLARK CONTACT EMAIL:adam@2812arChlteCtUre.COm BUILDING INFORMATION VALUATION OF WORK: $2.1 MILLION 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:Warehouse PROPOSED USE OF BUILDING: Office & LIGHT INDUSTRIAL HEAT SOURCE: ❑Gas ElElectric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check a/I that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair DTI ❑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: TENANT IMPROVEMENT: MODIFICATION TO THE INTERIOR OF EXISTING BUILDING LOCATED AT 1415 75th AVENUE S.W in EVERETT, WASHINGTON. 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 with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 3/24/2021 Only PERMIT 41 V O ✓ . v 1 Owner/Authorized Agent Signature Date (Revised 2/8/2021) !/Z