Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING!MECHANICAL/PLUMBING I 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 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3003 W Casino Road 40-Z 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 /> crry 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 D CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-252-0065 <br /> Michael PrudnICk CONTACT EMAIL:michael@pugetsoundfireprotection.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Manufacturing Contract Price of Work:$1500.00 <br /> Proposed Use of Building:Same Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Reryodel ❑Repair ❑T.I. ❑Sign (]Sprinkler (]Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: BLDG 44),(26- Demo and install 6 Heads <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 Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilator Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression Systemb No.of Heads b <br /> Chemical Suppression System No.of Heads <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.lam 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 /> PERMIT#05-14-2019 ic. "1 0a-o w <br /> c�j42l.Lfl. c52c52 <br /> Owner/A oriz Agent Signature Date (Revised 10/10/2018) <br />