1415 75TH ST SW HELION ENERGY 2023-12-11

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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1415 75th STREET S.W PARCEL#: zgO sf ( (DO tO l OOO cITY EVERETT STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): HELION ENERGY INDUSTRIAL LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 2812 ARCHITECTURE OWNER MAILING ADDRESS: STREET 2812 COLBY AVENUE CITY EVERETT STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: adam@2812architecture.com CONTRACTOR COMPANY NAME:TBD E_—U�1 `fz�tir re—ri cL.e, ,/U Lk_) Lt__ q / WA STATE CONTRACTOR LICENSE#(REQUIRED): GD/OTUFMAS.CS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63 O Sly CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR OTHER(Please Specify) pc-c-e-1, +' c* CONTACT NAME: n �� (\e- CONTACT PHONE: 4Z'jam, Z. 5.7_ _2 l c3 CONTACT EMAIL: pjtain t: 2,g(2 G.cc ln+tecJ-ute• (_1 M BUILDING INFORMATION VALUATION OF WORK: $.5ree, f-J 7 r DOC) 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: PROPOSED USE OF BUILDING: 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: A NEW 8 FEET METAL FENCE. 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 20g 8-2-2021 (� PERMIT# Z t ©c o� - 3 Owner/Authorized Agent Signature Date (Revised 2/8/2021) i J