Laserfiche WebLink
grr BUILDING /9ECHANICAL / PLUMBINGPERMITAPPLIC <br /> / SIGNATION/ 411 <br /> INKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3003 W Casino Rd. PROPERTY TAX#: 28041000100200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Co TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 M/S OH-13 <br /> CITY Seattle STATE WA ZIP 98124-2207 <br /> OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com <br /> CONTRACTOR NAME: Dahlgren Industrial, Inc. <br /> CONTRACTOR ADDRESS: STREET 13975 Interurban Ave S, Suite 100 <br /> CITY Tukwila STATE WA ZIP 98168 <br /> CONTRACTOR PHONE: 206-236-2300 CONTRACTOR EMAIL: jeffw@dahlgrenindustrial.com <br /> CONTRACTOR LICENSE#(REQUIRED): DAHLGI1988BQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 042200 <br /> PRIMARY CONTACT: ® OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-260-2668 <br /> Todd Haberlack CONTACT EMAIL: todd.j.haberlack©boeing.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/A Contract Price of Work: $ 43,000 <br /> Proposed Use of Building: Tool Storage Shed Heat Source: ❑Gas ❑Electric ®Other NONE <br /> Building Type: ❑SFR-Detached OSFR-Attached ❑Duplex DMulti-Family-#of Units: ❑Commercial C Industrial <br />' Type of Project: New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ['Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Stall 114 Modifications: 777X Change Incorporation/Refurb <br /> • Install building foundation <br /> • Install new prefabricated storage building on the east side of stall 114. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump/ <br /> Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> • <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Dishwasher <br /> Gas Range Ducting Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number of Heads <br /> 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 <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 /> J <br /> z :, , CI•i <br /> PERaVV 4_ Do5 <br /> ~ April 3, 2020 <br /> Owner/Authorized Agent Signature for Todd Haberlack Date (Revised 10/1 2015) i <br />