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izi _DING PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <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 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 BLD B PARCEL#: 28040300400300 <br /> CITY EVERETT STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential):(TERRA POWER <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: JSH Properties(Property Manager) <br /> OWNER MAILING ADDRESS: STREET 14900 INTERURBAN AVE SO, SUITE 130 <br /> CITY SEATTLE STATE WA ZIP 98168 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:PATTISON GENERAL CONTRACTOR <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):PATTIGC917C7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040060 <br /> CONTRACTOR ADDRESS: STREET 15223 NE 90TH ST, SUITE 140 <br /> CITY REDMOND STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425-497-8222 CONTRACTOR EMAIL:andyf@pattisongc.com <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify)__ <br /> CONTACT NAME: CONTACT PHONE:425 641 9200 <br /> AMY N I C H O LS CONTACT EMAIL:amyn@jpcarchitects.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $240,000 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:B, S-1 & F-1 <br /> PROPOSED USE OF BUILDING:B,S-1 & F-1 <br /> HEAT SOURCE: Z 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 ETA. ❑Change of Use <br /> ❑Modular ❑Portable ❑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: New interior Research and Development mezzanine to be added in existing <br /> warehouse. 600SF of new mezzanine. <br /> ECIEINE <br /> NOV 12 2023 JJ <br /> CITY OF EVERETT <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done purse irtp (HQtteeS�p/y 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 of Everett Official Use Only <br /> Digitally signed by Amy Nichols LPERMIT# <br /> Amy Nichols ON:CN-Amy Nichols,OU=Principal,OU=JPC 11/03/23 /3 <br /> Users,DC=jpcarchitects,DC=com % I �, '5 <br /> Date:2023.04.1017:35:20-07'00' v 2 l l7//1 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />