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

mim 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)PermitServices@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 clTv 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:Sabey Corporation OWNER MAILING ADDRESS: STREET 12201 Tukwila International Blvd. 4th Floor oily Seattle STATE WA ZIP 98168 OWNER PHONE:2O6-281-8700 OWNER EMAIL: joes@sabey.com CONTRACTOR COMPANY NAME:Newland Construction Co., Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):NEWLAC*343L0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 18056 CONTRACTOR ADDRESS: sTREET3300 Chesnut Street cmi' Everett STATE WA ZIP 98201 CONTRACTOR PHONE:425-259-9191 CONTRACTOR EMAIL:si@newlandcompany.com PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER (Please Specify) Tenant representative CONTACT NAME: CONTACT PHONE:425-495-4215 Paul Gentsch CONTACT EMAIL:paul@helionenergy.com BUILDING INFORMATION VALUATION OF WORK: $700000 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:COMMERCIAL ALTERATIONS PROPOSED USE OF BUILDING:COMMERCIAL ALTERATIONS 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:NEW CONTROL ROOM TI WITHIN EXTG WAREHOUSE NEW CONTROL ROOM TI WITHIN EXTG WAREHOUSE 10/30/2022: TI ADDITION OTO EXISTING WAREHOUSE, 698 SO FT NEW CONTROL 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 Digitally signed by Paul Gentsch Paul Gentsch DN:C=US,E pgayeI helionenergy.com, PERMIT# O=Helion Energy,CN=Paul Gentsch 4/13/2023 i '% L (� Date:2023.04.14 08:41:41-07'00' (� Owner/Authorized Agent Signature Date (Revised 4/21/2022)