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0 0 <br />BUILDING PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 3315 SEAWAY BLVD. PARCEL #: 28040300400300 <br />CITY EVERETT STATE WA ZIP 98203 <br />SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): TERRAPOWER <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: SEAWAY WEST, LLC C/O BERTCH CAPITAL - GREG BERTCH <br />OWNER MAILING ADDRESS: STREET 8210 164TH AVE., NE, SUITE 200 <br />CITY REDMOND STATE WA ZIP 98052 <br />OWNER PHONE: 425.285.4322 <br />OWNER EMAIL: GBERTCH@BERTCHCAPITAL.COM <br />CONTRACTOR COMPANY NAME: PATTISON GENERAL CONTRACTORS, ANDY FORTINO <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): PA17IGC917C7 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIREt�� <br />CONTRACTOR ADDRESS: STREET 15223 NE 90TH ST., SUITE 140 <br />,,Ty REDMOND STATE WA ZIP 98052 <br />CONTRACTOR PHONE: 425.497.8222 <br />CONTRACTOR EMAIL: ANDYF@PATTISONGC.COM <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR © OTHER (Please Specify) ARCHITECT <br />CONTACT NAME: <br />NADIA AZAROVA <br />CONTACT PHONE: 206.408.8146 <br />CONTACT EMAIL: NAZAROVA@NELSONWW.COM <br />BUILDINO INFORMATION <br />VALUATION O WO K: $ 307,000 1ASSOCIATED <br />LAND USE PROJECT # if applicable): 1807033 <br />(Valuation shall inc de the revailing fair market)(blue of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF UILDING: R& <br />PROPOSED USE OF ILDIN &D <br />HEAT SOURCE: ©Gas ❑Electric ❑Other <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ©Commercial ❑Accessory Structure <br />TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair ©T.I. ❑Change of Use <br />[]Modular ❑Portable []Re -roof ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure <br />❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: <br />DESCRIPTION OF woRK: Tenant alteration consisting of: addition of R&D laboratory space addition to existing <br />TAT laboratory within existing warehouse area. Mechanical, electrical, plumbing, fire <br />protection, and sprinkler permits will be applied for under a separate permit submittal <br />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 <br />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 <br />Building Official before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made. <br />and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />06/0112021 <br />Owner/Authorized Agent S' ture Date <br />City of Everett Official Use Only <br />PERMIT # n T D ( (d� <br />(Revised M12021) o <br />I/Z <br />