1313 75TH ST SW BLDG A 2026-05-06

t® EVERETT WA15M NA TAN MECHANICAL PERMIT APPLICATION CITY of EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 3200 Cedar Street 2nd Floor Intake Drop Box, CONTACT INFORMATION: (P) 425-257-8810 1 (E) Permit5ervlces@overetlwa.gov I (W) evereltwa.gov/pormils (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1313 75th St SW PARCEL #: CITY Everett STATE WA zip 98203 SUITEIUNIT #: Bldg A FLOOR #: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential):t-lelion Energy CONTACT INFORMATION OWNER NAME: Hellion Energy OWNER MAILING ADDRESS: STREET 1451 75th St SW city Everett STATE WA up 98203 OWNER PHONE: OWNER EMAiL:tlandry@helionenergy,com pp CONTRACTOR COMPANY NAME: ' � & cu U wy- u-") WA STATE CONTRACTOR LICENSE #(REQUIRED): I \ ' 1.G'I CiTY OF EVERETT BUSINESS LICENSE #(REQUIRED): �? W CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑✓ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Tyler Landry CONTACT PHONE: CONTACT EMAIL:tlandry@helionenergy.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $250,000 ASSOCIATED PERMIT # (if applicable): (Valuation shall include the prevailing fair markot value of all labor, mate Oats, and equipment needed to completo the work, whother actually paid or not.) BUILDING TYPE: ❑✓ SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ✓❑Commercial E)Accessory Structure DESCRIPTION OF WORK: Installation of tanks, fan, and associated piping for a on -site processing system `MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) F/xttrro Count (Qty) List of Fixtures Fixture Count (Q(y) Lls(ofFixtures NC Unit (attach plan with location of outdoor unit) Gas Piping - List # of outlets in fixture count Air Handling Unit ** Gas Applianco ** Boiler (most require backflow prevention) ** Gas Fireplace, Insert, and/or Log (* for commercial bldgs) Commercial Refrigeration (Walk-in coolers, VRF, VRv, etc.) Gas - Other (List Type): Commercial Venlilatlon (corridors, staimell, pressurization, etc,) Heal Pump (attach plan vrith location of outdoor unit) Compressors/Generators (building permit may be requked) ** Heal Pump Ductless (altacli plan with location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping Duct System (addhlons, alteraWns) Unit heater (commercial use) t Exhaust Fan (residential or commercial use) lWater Healer (gas or electric) Exhaust Hood (residential over stove) Wood/Poliet Stove or Insert Exhaust Hood Type I Olher (List Type): Exhaust Hood Type II *** Other (List Type): Furnace residential Other (List Type): * For commercial gas fireplaces, please attach plans and manufacturer's installation manual. ** Under Description of Work, please Include Typo of Equipment, model fl's, ad detailed description of mrk, and the location of the equipment. *** Type I hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review. Please submit the required documents as described in the associated Checklists online at everethva.gov/permits under the Checklists & Handouts tab, ACIMOWLEDGEMENT.' I have reviewed this application and confirm the tnfonnallon contained herein is true and correct. worx (tone pursuant to rats permit must comply with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations thorefrom. Deviations must first bo outhorizod in willing from ilia Building Offlclal before being authorized under any circumstance. I am the owner, or I am authorized by Ilia owner of this property to perform Ilia work for which application Is made, and I comply with ilia State Contractors Law 18,27 RCW and 296.200A WAG. City of Everoll Official Use Only 07ve t ,d"ew 3/25/2025 PERMIT It 1'M Z 5 0 3— 1) Ownor/Authorized Anent Signature Dale (Revised 412112022)