3003 W CASINO RD BLDG 40-56 2025-01-09

B•DING PERMIT APPLICATOK1 CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, 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 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Road PARCEL#: 28041000100200 CITY Everett STATE WA ZIP 98204 SUITE/UNIT#: 40-56 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):The Boeing Company LEGAL DESCRIPTION for new construction: Short Plat/subdivision. Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:The Boeing Company OWNER MAILING ADDRESS: STREET 3003 West Casino Road Everett STATE WA ZIP 98204 OWNER PHONE:425-220-2947 OWNER EMAIL: eriC.s.epstein@boeing.Com CONTRACTOR COMPANY NAME: Owner Performed Work- Reference Owner Affidavit WA STATE CONTRACTOR LICENSE#(REQUIRED): N/A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): N/A CONTRACTOR ADDRESS: STREET N/A CITY N/A STATE N/A ziP N/A CONTRACTOR PHONE:425-220-2947 CONTRACTOR EMAIL: eric.s.epstein@boeing.com PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-220-2947 Eric S. Epstein CONTACT EMAIL:eric.s.epstein@boeing.com BUILDING INFORMATION EcE[1\\9iFt .-',A, VALUATION OF WORK: $ 20,000.00 ASSOCIATED LAND USE PROJECT#(if applica :• (Valuation shall include the prevailing fair market value of all labor.materials.and equipment needed to complete the work.whether actually paid or not.8 EXISTING USE OF BUILDING:ManUfaCtUring I JUL Z 2U24 PROPOSED USE OF BUILDING:ManUfactUring CITY OF FVERETI HEAT SOURCE: ❑Gas LIElectric ❑Other Permit Services 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) ❑Other: DESCRIPTION OF WORK: Relocate existing shop fencing (approx. 50 feet) north for new break room area. 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Digitally signed by Eric Epstein. PERMIT# Eric Epstein, 276672 276672 .- O I l0 Date:2024 07.24 09.1751 -07'00' v Owner/Authorized Agent Signature Date (Revised 4/21/2022)