1415 75TH ST SW HELION ENERGY 2023-04-10

• • Ism 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.govI(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1415 75th St SW PARCEL#: 28041100101000 cIT., Everett STATE WA ZIP 98203-6257 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:Everett Technical Park II LLC OWNER MAILING ADDRESS: STREET 12201 Tukwila International Blvd., 4th Floor cmv Seattle STATE WA ZIP 98168-5121 OWNER PHONE:2O6-277-5228 OWNER EMAIL: debbies@sabey.com CONTRACTOR COMPANY NAME: KONECRANES, INC WA STATE CONTRACTOR LICENSE#(REQUIRED):KONECI*994KH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054600 CONTRACTOR ADDRESS: STREET8735 S 212th Street cI, Kent STATE WA ZIP 98031 CONTRACTOR PHONE: 1-925-337-2001 CONTRACTOR EMAIL:kim.buteau@konecranes.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Helion Energy Construction Manager CONTACT NAME: CONTACT PHONE: 253-480-6593 Backup Cell: 310-469-1567 Matthew Leon CONTACT EMAIL:mleon@helionenergy.com BUILDING INFORMATION VALUATION OF WORK:$372,844.00 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:Manufacturing, Warehousing, &Administrative Offices PROPOSED USE OF BUILDING:No Change to Existing Use 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:lnstallation of 10-Ton overhead bridge crane DESCRIPTION OF WORK:Supply and install 10-Ton overhead bridge crane structure to include free standing runway, with columns that anchor directly to concrete slab, headers struts and runway beams. Structure does not tie back or attach to the building. 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 4a/9/aon U2�-O 3C) Owner/Authorized Agent Signatu Date (Revised 2/8/2021) /z—