3003 W CASINO RD BLDG 40-26 2025-10-22

BUILDING PERMIT APPLICATIO 11 IECEOVE EVERETT SUBMITTAL INSTRUCTIONS: See CITY OF EVERETT PERMIT SERVICES applicable submittal checklist for submittal require and etlop equine f review, WASHINGTON then drop off completed application plus all required submittal documents t 0 Ce r t ndd r Intak op Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermilServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL #: 280410 0100 0 CITY Everett STATE Wa ZIP 98204 SUITEIUNIT M FLOOR M 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 cIn Everett STATE Wa ZIP 98204 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com CONTRACTOR COMPANY NAME: Skanska USA Building Inc. WA STATE CONTRACTOR LICENSE #(REQUIRED): SKANSUB985RT CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 044389 CONTRACTOR ADDRESS: STREET 221 Yale Ave N #400 crry Seattle STATE Wa ziP 98109 CONTRACTOR PHONE: (206) 726-8000 CONTRACTOR EMAIL: Jason. Floyd@skanska.com PRIMARY CONTACT: 121 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Todd Haberlack CONTACT PHONE: 425-260-2668 CONTACT EMAIL: todd.j.haberlack@boeing.com BUILDING INFORMATION VALUATION OF WORK: $ 88,000 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 El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Design Package 40-26.03 includes modifying the Dell IT area, Industrial Athlete, Ergo Crib and quality control areas to CR/AA, LFS & BFE, Traveler WH and RCRA. Primarily moving shop fence, gates, and furniture. 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 tvriling from the Building Official before being authorized under any circumstance. l am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply tvith the State Contractors Law 18.27 RCW and 296.200A WAG Todd Haberlack, Digitally signed by Todd Haberlack, 48308 48308 Dale: 2024.03.07 08:22:15-08'00' Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # 7 _ .� (Revised 41212022)