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III <br /> Elk LDING PERMIT APPLICAAN <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVE R E T T 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 I(E)everetteps@leverettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT 5 TE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 215 Shuksan WAy PARCEL#: 28040100304500 <br /> CITY Everett STATE WA zip 98203 <br /> SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION(if applicable): <br /> TENANT/BUSINESS NAME(if non-resideftial):SeaGen <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.; (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:DPIF2 WA 7 Mountain View 2 LLC <br /> OWNER MAILING ADDRESS: STREET 5500 Equity Ave <br /> CITY Reno STATE NV ZIP 89502 <br /> OWNER PHONE:775-858-8080 'OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Northwest Handling Systems, Inc. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):NORTHWH275JF'CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 011598 <br /> CONTRACTOR ADDRESS: STREET 1 1 00 SW 7th St <br /> CITY Renton STATE WA - ZIP 9805 <br /> CONTRACTOR PHONE:206-305-5376 CONTRACTOR EMAIL:malian@nWhS.cOm <br /> PRIMARY CONTACT: ❑OWNER h7 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME:1►A CONTACT PHONE:206-305-rj376 <br /> Marc <br /> 1 a rc Allan CONTACT EMAIL:mallan@nwhs.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$183,650 'ASSOCIATED LAND USE PROJECT#(if applicable): <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: IZiCommercial ❑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 /> OFence over 7ft hig h l IRackStora a ❑PoollHot Tub ❑Tank(above ground) ❑Other. <br /> 9 <br /> DESCRIPTION OF WORK: ''`' <br /> Deliver and install (77)bays of new pallet rack. Heights will range from 20'H storage to <br /> 30'H with 9 mix of single-selective and double deep racking. <br /> ©EDVE� <br /> ACKNOWLEDGEMENT.'I have reviewed this application and confirm the information contained herein is true and correct W pursua t to this permit must i con with <br /> current federal state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.DP evia�� uc1� from <br /> is made, <br /> Building Official before being authorized under any circumstance.i am the owner,orl am authorized by the owner of this <br /> and!comply with the teContractors Law 18.27RCW and 296.200AWAC. Permit Services <br /> City of Everett Official Use Only <br /> dogiviz.., <br /> 09/11/2023 <br /> PERMIT ft <br /> g A9 0 q - 0 g 7 <br /> Owner/Authorized Agent Signature bate (Revised 2/812021) <br />