5900 36TH AVE W RENU MEDICAL 2025-04-22

BUILDING PERMIT APPLICATION 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 Box. CONTACT INFORMATION:(P)425-257-88101(E)PermitSefvices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 5900 36th Ave W,Bldg B,Suite 100 PARCEL#: 28040300200100 my Everett STATE WA zip 98203 SUITE/UNIT#: 100 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential):ReNu Medical LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Bridge Point Everett 500 LLC OWNER MAILING ADDRESS: STREET 10655 NE 4th St, Suite 212 crry Bellevue STATE WA ZIP 98004 OWNER PHONE:206-676-2916 OWNER EMAIL:joesidge@arja.com CONTRACTOR COMPANY NAME:Northwest Handling Systems WA STATE CONTRACTOR LICENSE#(REQUIRED):CC NORTHWH275JF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 011598 CONTRACTOR ADDRESS: STREET 1 100 SW 7th St CITY Renton STATE WA zip 98057 CONTRACTOR PHONE:425-919-3597 CONTRACTOR EMAIL:neilm@nwhs.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: �y p CONTACT PHONE:425-919-3597 Neil i Montague' on{-`ague✓ CONTACT EMAIL:neilm@nwhs.com BUILDING INFORMATION VALUATION OF WORK:$110,267.00 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of at 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: 11Gas ❑Electric DOther BUILDING TYPE: ❑SFR DTownhouse DDuplex ❑ADU ❑Multi-Family-#Units: (]Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair I]T.I. ❑Change of Use DModular ❑Portable ❑Re-roof DExterior Alteration ❑Tank(above ground) DAccessory Structure ['Fence over 7ft high ❑RackStorage DPool/Hot Tub ❑Tank(above ground) DOther: . i��, — 1 1\ 11\ DESCRIPTION OF WORK:Install (78) bays of selective pallet racking sJ SUN 2% 2024 ofEvEceS m T co it„„ Pe r 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.I am the owner,or t am authorized by the owner of this property to perform the work for which application is made, and f comply with State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 6/28/24 P�0'n ^ DS\ lV �J Owner/A thorized Agent Signature Date (Revised 4/2 112 0 2 2)