3003 W CASINO RD BLDG 40-27 2025-05-28

D [ Q - N, e,-.LDING PERMIT APPLICATI..,N SEP 2 2 2023 lJ CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements anCiLifi "er( po:+iee PrWdJorreview, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedrb§t ,Rnd;Ft<per,lr t ktDrop Box. CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.gov 1(W)everettwkgav/perfnitt— (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL#: 28041000100200 (ILb � 1 p ( CITY 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 Cm, 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):602932517 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053908 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE:253-304-2483 CONTRACTOR EMAIL:apowell@wapatriot.com 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:$720,000 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:Maufacturing PROPOSED USE OF BUILDING:Manufacturing HEAT SOURCE: ❑Gas ❑Electric ElOther 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: 40-27 building - Provide construct for utility installation to support the 19 new Side of Body Access stands for the 40-27 production lines. This will include electrical work to Positions 1 & 2 FWD and AFT and a new trench in Position 1 AFT. 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 com with the State Contractors Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only 115/7 3PERMIT# J^3OOwner/Authorized gent Signat a (Revised 4/21/2022)