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

a_DING PERMIT APPLICA-111111IV CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@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 #: 28041000100200 CITY Everett STATE Wa ZIP 98204 SUITE/UNIT 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) 40" WT CT, INFORMATION; . , OWNER NAME: Boeing Co OWNER MAILING ADDRESS: STREET 3003 West Casino Rd CITY Everett STATE WA ZIP 98204 OWNER PHONE: 425-220-2947 OWNER EMAIL: eric.s.epstein@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 CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL:)aSon.floyd@SkanSka.Com PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Eric Epstein CONTACT PHONE: 425-220-2947 I CONTACT EMAIL: eric.S.epstein@boeing.com iF BUILDING IN►RMATIOt VALUATION OF WORK: $ 35,000.00 t, ASSOCIATED LAND USE PROJECT # (if applic (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or no EXISTING USE OF BUILDING: : EVER PROPOSED USE OF BUILDING: 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 ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: 737 N. Line 40-26 Tower Relocations DP 26.08 includes reconfiguring break and locker areas on the 40-26 2nd floors along N and P gridlines. The work includes installing/relocating furniture, lockers, millwork, microwaves, refrigerators and installing shop fence and access gates. 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Digitally signed by Eric Epstein, PERMIT # D �A qEric Epstein, 276672276672 A M _ O � I Date: 2024.05.13 08:14:12 -0T00' Owner/Authorized Agent Signature Date (Revised 412112022)