1520 80TH ST SW HELION 2024-11-15

BADING PERMIT APPLICATIA 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 fox. CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1520 80th St SW, Ste B PARCEL #: 00392200002302 clTv Everett STATE WA zlP 98203 SUITE/UNIT #: FLOOR #: 1 ADDITIONAL LOCATION INFORMATIO a TENANT/BUSINESS NAME (if non-residential):Hellon Energy LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal descr ti ) CONTACT INFORMATION OWNER NAME: PJP 4 LLC CITY OF EVERETT OWNER MAILING ADDRESS: STREET PO Box 776 Permit services clry Mercer Island STATE WA zIP 98040 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:Northwest Handling Systems, Inc. WA STATE CONTRACTOR LICENSE #(REQUIRED): NORTHWH275JF ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 011598 CONTRACTOR ADDRESS: STREET 110O SW 7th St clry Renton STATE WA z.. 98057 CONTRACTOR PHONE:206-305-5376 1CONTRACTOR EMAIL: mallan@nwhs.com PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Marc Allan CONTACT PHONE:206-305-5376 CONTACT EMAIL: mallan@nwhs.com BUILDING INFORMATION VALUATION OF WORK: $ 500 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: Warehouse PROPOSED USE OF BUILDING:Warehouse 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 LIT. 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: Deliver and install 16' high pallet rack with four 8' beam levels per bay. Top of product storage not to exceed 20'0". 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. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the tate Contractors Law 18.27 RCW and 296.200A WAG City of Everett Official Use Only PERMIT# �^ 30� ^ 41 06/30/2023 G lJ Owner/Authorized Agent Signature Date (Revised 21812021)