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• • <br /> BUILDING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> 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 l(E)PermitServices©everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2525 W Casino Rd, Suite 7G PARCEL#: 28041400201700 <br /> cln. Everett STATE WA ZIP 98204 <br /> SUITE/UNIT#: 1 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):AVIatiOn Technical Services <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:REEF Paine Field II, LLC <br /> OWNER MAILING ADDRESS: STREET 1015 Third Avenue, Suite 900 <br /> crry Seattle STATE WA ZIP 98104 <br /> OWNER PHONE:206.51 5.0630, ext 215 OWNER EMAIL: racheal@ires1.com <br /> CONTRACTOR COMPANY NAME:Northwest Handling Systems <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CC NORTHWH275JF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 011598 <br /> CONTRACTOR ADDRESS: STREET 11 00 SW 7th St <br /> clry Renton STATE WA ZIP 98057 <br /> CONTRACTOR PHONE:425-919-3597 CONTRACTOR EMAIL:neilm@nwhS.com <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-919-3597 <br /> Neil Montague CONTACT EMAIL:neilm@nwhs.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$1,822.00 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 EElectric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check a/I that apply): Chew Construction ❑Addition ❑Remodel ❑Repair ✓❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ETank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other:_ SCSW <br /> DESCRIPTION OF WORK:Install (8) bays of selective pallet racking <br /> D <br /> pPR 23 202' <br /> F EVERETT <br /> CO" <br /> 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 ore ing 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 the tate Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett 0 , I Official Use Only <br /> 4/10/24 PERMIT# n 22 ' O L <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) � L� <br />