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MN PERMIT APPLICATION <br /> LI <br /> BUILDING / MECHANICAL / PLUMBING /SIGN / SPRINKLER / DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3003 W Casino Road - PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Company TENANT BUSINESS NAME(Commercial): Boeing Commerical <br /> OWNER MAILING ADDRESS: STREET 100 North Riverside <br /> CITY Chicago STATE Illinois ZIP 60606 <br /> OWNER PHONE: N/A OWNER EMAIL:N/A <br /> CONTRACTOR NAME:Puget Sound Fire Protection Inc <br /> CONTRACTOR ADDRESS: STREET 1429 Ave D#294 <br /> CITY Snohomish STATE WA zIP 98290 <br /> CONTRACTOR PHONE:(425)252-0065 CONTRACTOR EMAIL:greg@pugetsoundfireprotection.com <br /> CONTRACTOR LICENSE#(REQUIRED):CCPUGETSF889PD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 53696 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425252 0065 <br /> Michael Prudnick CONTACT EMAIL:michael@pugetsoundfireprotection.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Manufacturing Contract Price of Work:$1000.00 <br /> Proposed Use of Building:Same Heat Source: DGas ❑Electric ❑Other _ <br /> BUILDING USE: DSFR LTownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units:_ ECommercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ESprinkler ❑✓Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: BLDG 40-24 Demo Sprinklers on AHU-1 and AHU-2 Units (4 Heads Each) <br /> A set of plans were rubber banded to the Application when dropped off. <br /> Yes the system is existing <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture FixtureList of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Count count Count Count <br /> Handling Units Gas Piping • •- Bldg) Shower,Tub,or Combo <br /> Boiler •- Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Rump&DuctlessI.Dishwasher Sink-Residential(kitchen,bath,bar) <br /> • ••el) Refrigeration Drinkin• Fountain Sink-Utility,laundry, mop <br /> Exhaust Fans .-nfial) Commercial Ventilatio Floor DrainToilet <br /> Exhaust'••. .- . • - Bibb Urinal <br /> Exhaust ••• • . • Waste/Water Piping Repair <br /> Exhaust ••• • - •••Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems • -r: Medical Gas <br /> Water Valves or Fixtures <br /> Gas •. •• Roof• . Water Heater <br /> SUPPRESSIONSPRINKLER/ -.-Ejector or Sump Pump _Other: <br /> Water Suppression System X No.of --. B ,Chemical Suppression System No.of --• <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 properly 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 /> PERMIT# y�(./ <br /> )ln 52- 05-14-2019 OS"-o -7 <br /> Owner/A oriz Agent Signature Date (Revised 10/10/2018) <br />