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PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> "IPAolower-4 <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 /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3003 W Casino Rd.(40-56) 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 Co TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 M/S OH-13 <br /> crTY Seattle STATE WA ZIP 98124-2207 <br /> OWNER PHONE: 425-239-7983 OWNER EMAIL: david.d.tyler@boeing.com <br /> CONTRACTOR NAME Skanska <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: N/A CONTRACTOR EMAIL: N/A <br /> CONTRACTOR LICENSE#(REQUIRED): SKANSUB985RT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044389 <br /> PRIMARY CONTACT: g OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-239-7983 <br /> Dave Tyler CONTACT EMAIL: david.d.tylerC@boein9.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Manufacturing/Office Contract Price of Work: $384,166 <br /> Proposed Use of Building: Manufacturing/Office Heat Source: ❑Gas DElectric ❑Other <br /> Building Type: DSFR-Detached ❑SFR-Attached ODuplex DMulti-Family-#of Units: ❑Commercial L Industrial <br /> Type of Project: ❑New DAddition EgRemodel DRepair DT.I. OSign OSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Building No. 40-56: Modifications of existing die cleaner enclosure to include new robotic automated laser die <br /> cleaner, changes to utility connection, changes to existing walkway and railing on top of the die cleaner enclosure. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn _Alteration Repair Type of Project: _New _Addn Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures 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 C ntractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 10(7/4 P T(C o C 0 l_JVR <br /> Owner •utho 'zed Agent ignature (Revised 10/12/2015) <br /> 9 <br />