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BUIMING PERMIT APPLICATION <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />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 1415 75th St SW PARCEL #: 28041100101000 <br />cnY Everett STATE WA ZIP 98203 <br />SUITE/UNIT #: FLOOR #: 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): Helion Energy rpsom o n i <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: tQ&h&1Zl11a1Xs <br />CONTACT INFORMATION <br />OWNER NAME: Everett Tech Park II, Sabey Inc <br />OWNER MAILING ADDRESS: STREET 12201 Tukwila Int'l Blvd, 4th Floor CITY OF EVE <br />ermi�pWv1Cl9S <br />c,r, Seattle STATE WA 1jZIP <br />OWNER PHONE:206-281-8700 <br />1OWNER EMAIL: info@sabey.Com <br />CONTRACTOR COMPANY NAME: Northwest Handling Systems, Inc. <br />WA STATE CONTRACTOR LICENSE #(REQUIRED):NORTHWH275JF <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 011598 <br />CONTRACTOR ADDRESS: STREET 1 1 OO SW 7th St <br />ciTy Renton STATE WA zip 98057 <br />CONTRACTOR PHONE: 206-305-5376 <br />1CONTRACTOR EMAIL:mallan@nwhs.com <br />PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Marc Allan <br />CONTACT PHONE:2O6-305-5376 <br />CONTACT EMAIL: mallan@nwhs.com <br />BUILDING INFORMATION <br />VALUATION OF WORK: $ 500 <br />ASSOCIATED LAND USE PROJECT # (if applicable): 11 a <br />(Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF BUILDING: Warehouse <br />PROPOSED USE OF BUILDING: Warehouse <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: <br />Deliver and install (3) bays of 20' high pallet rack with six 8' beam levels per bay. Top <br />of product storage not to exceed 25'0' . <br />ACKNOWLEDGEMENT: / 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. l am the owner, or / am authorized by the owner of this property to perform the work for which application is made, <br />and/ comply with the tate Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT # r1 <br />06/30/2023 �nol - U <br />Owner/Authorized Agent Signature Date (Revised 21812021) <br />