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PERMIT APPLICATIC I' <br /> BUILDING/ MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257;8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> �:_.� .- . '' -��"� �Y ` ���`'��,.���..'' . PROJEC�`,;SI'1?�ENECfRMATit�l�� " _ �,�_.�� <br /> � <br /> PROJECT SITE ADDRESS: 3003 W Casino Rd. PROPERTY TAX#: 2g041000100200 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> � : .�:s��. � � '�� , �;�`�'� GtyNTAGT'-INF��rV1;f��F� �xr,�� �_� F��������' ���� u� �����,r< <br /> OWNER NAME: Boeing Co TENANT NAME pf Commercial): <br /> OWNER MAILING ADDRESS: ' : sTaEeT PO Box 3707 M/S OH-13 <br /> R <br /> ciry Seattle srnre WA ziP 98124-2207 <br /> OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com <br /> coNTtzacTOR NaME;General Construction <br /> CONTRACTORADDRESS: srReer3345�J 6tll AV2 S <br /> ciTv F@d@P81 W8 s-ra,re WA zia 98003 <br /> CONTRACTOR PHONE:(253) 943-4200 CONTRACTOR EMAIL:RICh.SfTllth@kl@WIt.00171 <br /> CONTRACTOR LICENSE#(REQUIRED):GENERCC9H3OZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O4OrJ99 <br /> PRIMARY CONTACT: I$f OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-260-2668 <br /> Todd Haberlack ' coNTAc'r eMai�: todd.j.haberlack@boeing.com <br /> `; BUlLQING RERMI'���!PLIC�'�10��, .,;��`..z�,,.,: Y� ,�;�:��� ;, <br /> Existin Use of Buildin : N/A Contract Price of Work:$1,000,000 <br /> Pro osed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other <br /> Buildin T e: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil -#of Units: ❑Commercial $Ilndustrial <br /> T pe of Pro'ect: ❑New ❑Addition ❑Remodel ❑Repair �T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: 40-25 1 st floor column L9-Install concrete walls,structural fill,and new concrete slab to support a new production system <br /> for the 777X WBJ position. <br /> ASSOCIATED BUILDING PERMIT# if a licable: <br /> , ... <br /> �:�N.. , :.M�CHAN[�1�E*�l�ii�fk�� �'/�Tt��� t� ���,�,��;f. ....,���LiJ1�81[�iC',PERMI�'�'1�P[��1GI�T[ON`_ <br /> Type of Project: _New Addn _Alteration _Repair Type of Project: _New _Addn Alteration Repair <br /> #of ��st of Fixtures #of ust of Fixtures #°f List of Fixtures #of List of Fixtures <br /> Fixiures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bld ) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pipin Boiler Lavato (Wash Basin) Drinking Fountain <br /> Water Heater Refri eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ran e Ductin Dishwasher Roof Drains <br /> Clothes D er Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other; <br /> SPRINKLER I.SUP4ft�;i"lal��SYST�Nt�,,';, <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 O�cia/before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to pertorm the work for which application is made, <br /> and I co�h the State Contractors Law 18.27 RCW and 296.200A WAC. ` <br /> City of Everett Official Use Only <br /> PERMIT# <br /> �.�/j_ �� <br /> (U <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />