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PERMIT APPLICATIO <br /> BUILDIN1IECHANICAL/ PLUMBING/SIGN I PRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(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 /> c,Tv 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:michael@pugetsoundfireprotection.com <br /> CONTRACTOR LICENSE#(REQUIRED):CC PUGETSF889PD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 53696 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 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:$30,000.00 <br /> Proposed Use of Building: Same Heat Source: DGas []Electric DOther <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial DAccessory Structure <br /> Type of Project: DNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ✓❑Sprinkler ©Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Demo Slant Tool Sprinkler Piping in the 40-025 Building <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 Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease WasteNVater Piping Repair <br /> Exhaust Hood(Reside, al) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems ether: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Ins- Lo! Roof Drains Water Heater <br /> SPRINKLER/ 'PRESSION 'YSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System , No.of Heads <br /> Chemical Suppression Syst m , !No. of Heads <br /> ACKNOWLEDGEMENT:I ha e revr.•wed this application:nd confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and loca aw. a granting of ape it only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorize.under any circ stance.lam the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors -w 18.27 Re and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERv <br /> �O^ - 0 <br /> o <br /> Ow r rized e ignature Date (Revised 10/10/2018) <br /> 1 <br /> 7 <br />