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0 <br />AILDING PERMIT APPLICA%N <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT <br />SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <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 (W) everettwa.gov/permits <br />(Blue orBOpk/nk,OnlyPlease) , , PROJECT SITE.INFORMATION <br />PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL #: 28041000100200 <br />city Everett STATE Wa Z,p 98204 <br />SUITE/UNIT M FLOOR M 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 r. <br />CITY Everett STATE WA Z,p 98204 <br />OWNER PHONE: 425-220-2947 OWNER EMAIL: eric.s.epstein@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: STREET <br />CITY STATE <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />PRIMARY 11 CONTACT: MAY <br />El OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Eric Epstein <br />CONTACT PHONE: 425-220-2947 CITY OF EVER <br />CONTACT EMAIL: eric.s.epstein@boeing.compermit ServIC85 <br />BUILDING INFORMATION <br />VALUATION OF WORK: $ 35,000.00 <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 ❑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 />737 N. Line 40-26 Tower Relocations DP 26.07 includes reconfiguring shop areas on <br />the 40-26 1st and 2nd floors. The work includes relocating/installing furniture and some <br />small equipment relocations and installing shop fence and access gates. <br />l� 1=1r 710A .Fl r <br />I . 5 w U . 5) 0.5 tit (RA Z w P. 54 q. LP � .5 P. 5 ti 10. <br />ACKNOWLEDGEMENT.' I have reviewed this application and confirm t(le 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 I 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 />Digitally signed by Eric Epstein, PERMIT # <br />Eric Epstein, 276672' 276672 <br />Date: 2024.05.08 07:08:31-07'00' "! <br />Owner/Authorized Agent Signature Date (Revised 412112022) <br />