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PERMIT APPLICATIOlt <br /> OjETTBUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> -PROJECT SITE=zIINFORMAT(ON d .; - <br /> PROJECT SITE ADDRESS: 3003 W Casino Rd. PROPERTY TAX#: 28041000100200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> , . y,. CONTA <br /> . . ,:.�.: ���, ,.�.,, . , ,,,, �<; „�, ,,.. �:� CTiINFORIVIATIIONI P"-_ .,O , ' , <br /> OWNER NAME: Boeing Co TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 M/S OH-13 <br /> CITY Seattle STATE WA ZIP 98124-2207 <br /> OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com <br /> CONTRACTOR NAME:Schuchart <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:(206) 682-3030 CONTRACTOR EMAIL:Marsha.lemoine@schucart.com <br /> CONTRACTOR LICENSE#(REQUIRED) SCHUCC121 NC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):20499 <br /> PRIMARY CONTACT: IN OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-260-2668 <br /> Todd Haberlack CONTACT EMAIL: todd.j.haberlack@boeing.com <br /> fo r. .. ;; t,, ,.,,. -4BUIL DING',PER`"MITzAPP;LICATldi+l 'r; ' ," l T <br /> Existing Use of Building:ManuaCturing Contract Price of Work:$26,000 <br /> Proposed Use of Building:ManuaCturing (Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ®Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair MT.'. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: 40-27 East side-Temp restroom trailer- Build unistrut structure from 40-26 to restroom trailer. <br /> Anchor trailer to the ground (concrete)with straps and bolts. Build stairs and small deck <br /> for safety and ease of entrance. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION;A:,-- ,...: ,..r „ K .. PLUMIBINGAPERMITIAPPIICATIION ,;; ,F <br /> Type of Project: _New Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove _ Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting _ Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> '' SPRINKLER!'`SUPPRESSION SYSTEM, — <br /> !Number 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.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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> �0// PERMIT <br /> /‘ it j r% /ls��� a <br /> 0—vine—Authorized A.ent ignature Date (Revised 10/12/2015) <br /> Ii <br />