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BU LDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES • <br /> EVERETT 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 3301 Seaway Blvd PARCEL#: 28040300400300 <br /> cm, Everett STATE WA zlP 98203 <br /> SUITE/UNIT#: 120 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential):Terra Power LLC <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Seaway West LLC <br /> OWNER MAILING ADDRESS: STREET 14900 Interurban Ave S Suite# 130 <br /> crTy Tukwila STATE WA ZIP 98168 <br /> OWNER PHONE:425-283-5467 OWNER EMAIL: Taten@jshproperties.com <br /> CONTRACTOR COMPANY NAME:Seidon Construction LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):SEIDOCL821 MC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 9901 264th Street CT E <br /> c, ,, Graham STATE WA ZIP 98335 <br /> CONTRACTOR PHONE:206 473 9657 CONTRACTOR EMAIL:seidon.construction@gmail.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR Ei OTHER(Please Specify) Lab Engineer <br /> CONTACT NAME: CONTACT PHONE:206 396-9717 <br /> Steven S h i h CONTACT EMAIL:sshih@terrapower.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $30,580.76 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:Commercial Warehouse <br /> PROPOSED USE OF BUILDING:Commercial 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 ElPortable ❑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: Installation of pre-manufactured pallet rack only. All other components shown ar <br /> existing to remain. No on-site welding to be preformed. RECEIN <br /> APR 2 6 2024 <br /> CITY OF EVERETT <br /> Permit Services <br /> 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 <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. I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> / City ofEverett Official Use Only <br /> 7 l. 2aZ c� PERMIT# 152 l L oA V 1X V <br /> Owner/ uthorized Agent Signature Date (Revised 4/21/2022) <br />