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Bl DING PERMIT APPLICAT J <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETTSUBMITTAL 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 1 (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) T SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 10930 A D PARCEL#: 005379-000-005-00&005379-000-0o <br /> CITY Everett STATE WA ZIP 98204 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential):Greenwood Heating <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Greenwood Heating <br /> OWNER MAILING ADDRESS: STREET 825 S. S I ACEY S I REL f <br /> CITY Seattle STATE WA. ZIP 98134 <br /> OWNER PHONE:206-207-4734 OWNER EMAIL: MICHAELP@GREENWOODHEATING.COM <br /> CONTRACTOR COMPANY NAME:DONOVAN BROTHERS INC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 1801 WEST VALLEY HWY N., STE 10 <br /> cmT,. Auburn STATE WA ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Helix Design Group-Agent <br /> CONTACT NAME: CONTACT PHONE:253.922.9037 <br /> Melena Stewart CONTACT EMAIL:melenas@helixdesigngroup.net <br /> , BUILDING INFORMATION <br /> VALUATION OF WORK: $2,800,000.00 /, .� ASSOCIATED LAND USE PROJECT#(if applicable): p ` •� �r�[i 'i' <br /> (Valuation shall include the prevailing fair market v,e,cif all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING: Y CoO� g3 <br /> PROPOSED USE OF BUILDING:New Greenwood Heating office(8,305 s.f)and warehouse(8,960 s.f.)building for product distribution and company management. <br /> HEAT SOURCE: El 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 /> ElModular ❑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 Greenwood Heating office (8,305 s.f) and warehouse (8,960 s.f.) building for <br /> product distribution and company management. <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 of Everett Official Use Only <br /> Digitally signed by Melena Stewart <br /> Melena Stewart DN:C=US,E-Melenas@helixdeslgngroup.net, PERMIT# ( /� -- <br /> O=Helix Design Group,cN="Melena Stewart" 1 1/9/2022 \ Z I 1 <br /> Reason:I am the author of this document ) <br /> Date:2022.11.09 10:04:24-08'00' <br /> OwnerlAuthorized Agent Signature Date (Revised 4/21/2022) <br />