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MIN <br /> PERMIT APPLICATIO <br /> LI <br /> BUILDINit4,./IECHANICAL / PLUMBING / SIGN I JPRINKLER / 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 FAX425-257-8857 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 West Casino Rd, Everett,WA 98204 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: The Boeing Company TENANT BUSINESS NAME(Commercial): The Boeing Company <br /> OWNER MAILING ADDRESS: STREET737 Logan Ave N <br /> C1ry Renton STATE WA ZIP 98055 <br /> OWNER PHONE: N.A. OWNER EMAIL:N.A. <br /> CONTRACTOR NAME:Hermanson Company <br /> CONTRACTOR ADDRESS: STREET 1221 2nd Ave N. <br /> CITY Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE:206-305-9238 CONTRACTOR EMAIL:N.A. <br /> CONTRACTOR LICENSE#(REQUIRED):HERMACLOO5BJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 37262 <br /> PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR El OTHER(Please Specify) Applicant <br /> CONTACT NAME: CONTACT PHONE:206-305-9238 <br /> Lyndsi Foster CONTACT EMAIL:Ifoster@hermanson.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial Contract Price of Work: $ 15,978.00 <br /> Proposed Use of Building:Commercial Heat Source: EGas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ZNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Add domestic cold water line to restroom trailer water system. <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 /> NC—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 Waste/Water Piping Repair <br /> Exhaust Hood(Residential)- Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems _ Other: Medical Gas .,. er va ves o ' _ -s <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump 1 Other: Water line <br /> Water Suppression System No.of Heads c <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 author'ed under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I compel'with the State Contra tom Law 18.27 RCW and 296.200A WAC. <br /> ,1 City of Everett Official Use Only <br /> % �Or --— PERMIT# <br /> V ;� .._ �"'� 11/6/19 l I l ( — o <br /> OwnerfAu r'fzidlg§nt Signat a Date (Revised 10/1'0/2018) <br />