3003 W CASINO RD BLDG 40-22 2019-09-04

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING/SIGN/SPRINKLER/DEMOLITION //411CITY OF EVERETT PERMIT SERVICES ` 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 1(E)everetteps©everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3003 W Casino Road PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Boeing Company TENANT BUSINESS NAME(Commercial): Boeing Commerical OWNER MAILING ADDRESS: STREET 100 North Riverside CITY Chicago STATE Illinois ZIP 60606 OWNER PHONE: N/A OWNER EMAIL:N/A CONTRACTOR NAME: Puget Sound Fire Protection Inc. CONTRACTOR ADDRESS: STREET 1429 Ave D#294 cin, Snohomish STATE WA zip 98290 CONTRACTOR PHONE:425-252-0065 CONTRACTOR EMAIL:michael@pugetsoundfireprotection.com CONTRACTOR LICENSE#(REQUIRED):CC PUGETSF889PD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 53696 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425)252-0065 Michael Prudnick CONTACT EMAIL:michael@pugetsoundfireprotection.com BUILDING INFORMATION Existing Use of Building: Manufacturing Contract Price of Work:$ 20/ ( 0 -- Proposed Proposed Use of Building: Same Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex LIADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑✓Sprinkler ❑✓Demolition ❑Change of Use DESCRIPTION OF WORK: Building 40-22 Van Deck Sprinkler Pipe Demo ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other Water Suppression System i No.of Heads zz Chemical Suppression System I No.of Heads 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 am authorized by the owner of this properly to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only c'friti Z 2 PERMIT#0016 004 04-05-2019 Owner/ uthorized Agent Signature Date (Revised 10/10/2018)