1313 75TH ST SW BLDG A 2025 2026-05-06

EVERETT weeuiur_TnN 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) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1313 75th St SW PARCEL M c,Ty Everett STATE WA zip 98203 SUITEIUNIT #: Bldg A FLOOR M ADDITIONAL LOCATION INFORMATION: TENANTIBUSINESS NAME (if non-residential):Helion Energy CONTACT INFORMATION OWNER NAME: Helion Energy OWNER MAILING ADDRESS: STREET 1415 75th St SW CITY Everett STATE WA zap 98203 OWNER PHONE:425-332-7463 OWNER EMAIL:tiandry@helionenergy.com CONTRACTOR COMPANY NAME: WA STATE CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET ciTy STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑I CONTRACTOR ElOTHER (Please Specify) CONTACTNAME:Ty1er Landry CONTACT PHONE: CONTACT EMAIL:tlandry@helionenergy.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $85,000 ASSOCIATED PERMIT # (if applicable): (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Du lex ❑ADU ❑Multi -Family - # Units: ❑Commercial ElAccessory Structure DESCRIPTION OF WORK: Installation of fans, stack, and associated ductwork to achieve a desired air change per hour. System will be tied into system as referenced on M2503-111 MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Count (ary) List of Fixtures Fixture Count (ary) List of Fixtures A/C Unit (attach plan with location of outdoor unit) Gas Piping - List # of outlets in fixture count Air Handling Unit ** Gas Appliance ** Boiler (most require backflowprevention) ** Gas Fireplace, Insert, andlor Log (* for commercial bldgs) Commercial Refrigeration (Walk-in coolers, VRF, VRV, etc.) Gas - Other (List Type): ** Commercial Ventilation (corridors, stairwell, pressurization, etc.) Heat Pump (attach plan with location of outdoor unit) CompresSorslGenerators (building permit maybe required) ** Heat Pump Ductless (attach plan with location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping Duct System (additions, alterations) Unit heater (commercial use) 2 Exhaust Fan (residential or commercial use) Water Heater (gas or electric) Exhaust Hood (residential over stove) Wood/Pellet Stove or insert Exhaust Hood Type I *** Other (List Type): Exhaust Hood Type It *** 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 Type of Equipment, model Vs, ad detailed description of work, 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 everettwa.govipermits under the Checklists & Handouts tab. ACKNOWLEDGEMENT: l have reviewed this application and confirm the information contained herein is true and correct. Wow crone pursuant to this permit must comply wun 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. / am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and l comply svilh the State Contractors Law 18.27 RCW and 298.200A WAC. 3/31 /2025 Owner/Authorized Agent Signature Date City of Everell Official Use Only PERMIT # (Revised 412112022)