3003 W CASINO RD BLDG 40-03 2025-04-11

mol BOLDING PERMIT APPLICA1N 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 l(E)PermitServices@everettwa.gov l(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL#: 28041000100200 CITY Everett STATE Wa ZIP 98204 `7 SUt i#l-EIN • Lc) Cr*" �o"P5FL- 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:Washington Patriot WA STATE CONTRACTOR LICENSE#(REQUIRED):WASHIPC9O6BJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053908 CONTRACTOR ADDRESS: STREET 10421 Burnham Dr., Bldg. 5 CITY Gig Harbor STATE WA zip 98332 CONTRACTOR PHONE:253- 853 -2304 CONTRACTOR EMAIL: PRIMARY CONTACT: 0 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: $70,000 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:Manufacturing PROPOSED USE OF BUILDING:Manufacturing 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) ❑Other: DESCRIPTION OF WORK: Relocation of the MRSA organization from the 40-31 building to the 40-03 building. Work will include relocation of pallet racks. RECIEOVEI SEP 24 2023 el I Y CM' EVEKE I I ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true and correct. Work done pur� t o�,�(�; �cra,it,�n}��jc m ly with current fed- -,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations mustrfirg� otr4PliNAktrom the Buildi • ici.I before•-in. .uthorized 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, an... ,44/ lat'Co/,-ctors/ 18.27 RC d 96.20 WAC. 3 City of Everett Official Use Only ••• Haberl-ck, =lly signed by � odd H erlack, PERMIT# 48308 3 c r 3 o 48308 Date:2023.09.13 12 28 21-07'00' (Jv Owner/Authorized Agent Signature Date (Revised 4/21/2022)