3003 W CASINO RD BLDG 40-05 2025-04-11

• ECEOVE BUILDING PERMIT APPLICATS CITY EVERETT PERMIT SERVICESS EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal req uirements and u ber oFf B.e0req u?: or revi WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor ln1.0, DE x. CONTACT INFORMATION: (P)425-257-8810 l(E)PermitServices@everettwa.gov I(W)eier��4. peEnit�C �� (Blue or Black Ink Only Please) PROJECT SITE INFORMATION 1 'errnit Services PROJECT SITE ADDRESS: STREET 3003 WarCasino Rd PARCEL#: 28041000100200 CITY Everett STATE Wa ZIP 98204 5'/ SUITE/UNIT#: Lj C 140-O5 FLOOR#: i C--7 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 U@boeing.COm CONTRACTOR COMPANY NAME:Washington Patriot WA STATE CONTRACTOR LICENSE#(REQUIRED):WASHIPC906BJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) 3908 CONTRACTOR ADDRESS: STREET 10421 Burnham Dr CITY Gig Harbor STATE WA ZIP 98332 CONTRACTOR PHONE:(253) 853-2304 CONTRACTOR EMAIL:info@wapatriot.com PRIMARY CONTACT: CI 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: $190,000 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): El 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: Installation of electrical, compressed air, and crib fencing to support the move of the PPK group to the 40-05 building as part of the Palletized Raceway Installation Tool/Palletized Raceway Assembly Tool (PRIT/PRAT) Relocation project. 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 re being thorized 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 com i t ntr o s Law 18.7r7 12CW a d 296.200A WAC. I 2ZUZ y City of Everett Official Use Only Todd Haberlack, Digitally signed by Todd Haberlack, PERMIT# 48308 : �� 48308 Date:2024.01.29 08 58 43-08'00' l/ CJ Owner/Authorized Agent Signature Date (Revised 4/21/2022)