3003 W CASINO RD STALL 113 S2 PK LOT 2024-01-09

D� y/ [1: s r ,. E BUILDING PERMIT APPLICATrI..�+l ` Ek..`:-.17 -� v CITY OF EVERETT PERMIT SERVICES 55 JJ EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requiremen a nunarr}bf ales2a fired foi iew, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 l(E)PermitServices@everettwa.gov I 19,314PfrOf a.cf J(fbPRETT (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Permit Services PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL#: 28041000100200 cir' Everett STATE Wa ZIP 98204 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Boeing LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Boeing Co OWNER MAILING ADDRESS: STREET 3003 West Casino Rd CITY Everett STATE Wa ZIP 98204 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com CONTRACTOR COMPANY NAME:Pacific Mobile Structures WA STATE CONTRACTOR LICENSE#(REQUIRED) PACIFMS033DC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 51242 CONTRACTOR ADDRESS: STREET 13806 45th Ave NE CITY Marysville STATE WA ZIP 98271 CONTRACTOR PHONE:509-727-1534 CONTRACTOR EMAIL:Robin.monk@pacificmobile.com PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-260-2668 Todd Haberlack CONTACT EMAIL:todd.j.haberlack@boeing.com BUILDING INFORMATION VALUATION OF WORK:$60,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Office and Restroom PROPOSED USE OF BUILDING:Office and Restroom HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ©T.I. ❑Change of Use ❑✓Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ElOther: DESCRIPTION OF WORK: Deliver and install 3 24x60' office trailers and 1 -12x25' restroom trailer. - Connect trailers together- the 24x60s are double wide. - Secure to the ground. - Add ramps, stairs, platforms. - Install carpet in office trailers. 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 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 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, and; rrcol I with the State Contractors Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only ( / 0/ )�3 PERMIT# O�� Owner/Authorized Agent Ignature 7 Date (Revised 4/21/2022)