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414-17PERMIT APPLICATIC: . <br /> BUILDINU 1 MECHANICAL/ PLUMBING /SIGIVUSPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (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 Rd Boeing 40-25 PROPERTY TAX#:28041000100200 <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 <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MC OH-13 <br /> city Seattle STATE WA Zip 98124 <br /> OWNER PHONE: 2062504530 OWNER EMAIL:connieh@holadayparks.com <br /> CONTRACTOR NAME:Holaday Parks Inc <br /> CONTRACTOR ADDRESS: STREET4600 S 134th PI <br /> city Seattle STATE WA Zip 98168 <br /> CONTRACTOR PHONE:2062504530 CONTRACTOR EMAIL:connieh@holadayparks.com <br /> CONTRACTOR LICENSE#(REQUIRED):HOLADP1379NO CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 012653 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2062504530 <br /> Connie Hardin CONTACT EMAIL:connieh@holadayparks.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $725000. <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Ductwork only. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): ,"k 04" <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 Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems + Other: Ductwork 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 System No.of Heads <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.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 compl with the St Contractors ' 18.27 RCW and 296.200A WAC. <br /> 4111� ` a City of Everett Official Use Only <br /> 11004 _ PERMIT# <br /> Owner/Authorized Agent Signature Dat (Revised 10/10/2018) j <br /> y <br />