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ECEOVE <br />BUILDING PERMIT APPLICA" ,.% N <br />EVERETT CITY ca EVERETT PERMIT SERVICES q m0 ?9 <br />SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal re uireme d num o co Ie �t4Ired to, <br />WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I&TeYerQ%Fa-FmVrl5 Fs -TT <br />(Blue,:orBlack/nkOnlyPlease) ;-r - , ,PROJECT:SITE,:INFORMATION _fflll erV1CeS °. <br />PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL #: 28041000100200 <br />(��} <br />CITY Everett co(-3 - 6- I- STATE Wa ZIP 98204 <br />SUITE/UNIT M (-G- Q FLOOR #: 5r ADDITIONAL LOCATION INFORMATION (if applicable): <br />TENANT/BUSINESS NAME (if non-residential): Boeing <br />LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Boeing Co <br />OWNER MAILING ADDRESS: STREET 3003 West Casino Rd <br />CITY Everett STATE Wa ZIP 98204 <br />OWNER PHONE: 425-260-2668 <br />OWNER EMAIL: todd.j.haberlack@boeing.com <br />CONTRACTOR COMPANY NAME: Skanska USA Building Inc. <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): SKANSUB985RT <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 044389 <br />CONTRACTOR ADDRESS: STREET221 Yale Ave N #400 <br />clrY Seattle STATE WA zIP 98109 <br />CONTRACTOR PHONE: (206) 726-8000 <br />CONTRACTOR EMAIL: Jason.Floyd@skanska.com <br />PRIMARY CONTACT: 121 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Todd Haberlack <br />CONTACT PHONE: 425-260-2668 <br />CONTACT EMAIL: todd.j.haberlack@boeing.com <br />x; <br />BUILD11 G INFORMATION°' <br />VALUATION OF WORK: $ 600,000 <br />ASSOCIATED LAND USE PROJECT # (if applicable): <br />(valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />EXISTING USE OF BUILDING: Manufacturing <br />PROPOSED USE OF BUILDING: Manufacturing <br />HEAT SOURCE: ❑Gas ❑Electric ❑Other <br />BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure <br />TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair ©T.I. ❑Change of Use <br />❑Modular ❑Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure <br />❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: <br />DESCRIPTION OF WORK: <br />Design Package 40-26.02 includes design work related to the Shim Mill Relocations, <br />reconfiguration of the new Panel Router Shop, and modifications for the new 737 <br />Tooling Maintenance and Equipment Services area. <br />ACKNOWLEDGEMENT.' l have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />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 <br />Building Official before being authorized under any circumstance. I am the owner, or / am authorized by the owner of this property to perform the work for which application is made, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />Todd Haberlack, Digitally signed by Todd Haberlack, PERMIT <br />48308 '�>A 4 f / <br />48308 Date: 2024.02.05 08:29:22-08'00' <br />Owne uthorized A ent Signature Date (Revised 412112022) <br />Z <br />s�aa y <br />