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

.1 BOLDING PERMIT APPLICATI CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies require J 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),verettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1415 75TH STREET SW PARCEL#: 28041100101000 clTy 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: SEE ATTACHEMENT Lot No: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:EVERETT TECHNICAL PARK II LLC/SABEY OWNER MAILING ADDRESS: STREET 12201 TUKWILLA INTERNATIONAL BLVD °Ty SEATTLE STATE WA ZIP 98168 OWNER PHONE:206-281-8700/206-277-5229 OWNER EMAIL: JOES@SABEY.COM / CLETEC@SABEY.COM CONTRACTOR COMPANY NAME:TCL PARTNERS ( CARL& BRIAN MERISKO) WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 16000 MILL CREEK BLVD, SUITE: 103 cr-y MILL CREEK STATE WA zip 98012 CONTRACTOR PHONE:425-316-3500 CONTRACTOR EMAIL:CMERISKO@TCLPARTNERS.COM PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) SYNTHESISPLLC(ARCHITECT) CONTACT NAME: CONTACT PHONE:206-228-8000 randy brown CONTACT EMAIL:randy.brown@synthesisplIc.com BUILDING INFORMATION VALUATION OF WORK: $700,000.00 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:Helion Energy Corporate HQ PROPOSED USE OF BUILDING:Helion Energy Corporate HQ HEAT SOURCE: ❑✓Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: EICommercial ❑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: Small interior T.I. addition to existing T.I. within existing warehouse building in Everett, WA. A 2,481 SF new Control Room T.I. 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/am authorized by the owner of this property to perform the work for which application is made, wand-l-ccimply with the State Contractors Law 18.27 RCW and 296.200A WAC. �\\\�,�A� City of Everett Official Use Only PERMIT# Ow MD ner/Authorised Agent Signature Date i rd,�._G!(Revised 4/21/2022) � � . � J