3003 W CASINO RD BLDG 40-24 2025-10-22

BUILu `NG PERMIT APPLICATIOt ti 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 I (E) PermitServices@everettwa.gov I (" everettwa.gov/permits (Blue or Black Ink OnlyP/ease) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL #: 28041000100200 c,TY Everett _ STATE Wa zIP 98204 �1 SUITE/UNIT # sa FLOOR #: 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 c,TY Everett STATE Wa zIP 98204 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberiack@boeing.com CONTRACTOR COMPANY NAME: Schuchart Corp C WA CO, 4 j �k, i A) G WA STATE CONTRACTOR LICENSE #(REQUIRED - - 2 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): X0499 CONTRACTOR ADDRESS: STREET cf�/ #W CITY STATE A- ZIP CONTRACTOR PHONE:206-718-4128 CONTRACTOR EMAIL: Dan. Rutkowski@schuchart.com PRIMARY CONTACT: i] OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Todd Haberlack CONTACT PHONE: 425-260-2668 CONTACT EMAIL:todd.j.haberlack@boeing.com BUILDING INFORMATIONS , , VALUATION OF WORK: $ 30,000 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: Modifying existing shop fencing for office and training space. p fl V RLE NOV 16 2023 CITY OF EVERETT Is ACKNOWLEDGEMENT., I have reviewed this application and confirm the information contained herein is true and correct. Work done pu ksuaanf td fA�Ai r919ftAply with current_Nikkal, 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 Bui! ' ff'c 1 befo eing authorized under any circylnst rice. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, an c tat C t ct s Law 18.27 RC14( d 296 o0A WAC. y Z City of Everett Official Use Only odd Haber ck, Digital y signed by Todd aberlack, PERMIT # 48308 48308 154e: 2023.11.14 12:43:30 -08'00' �� 6 Owner/Authorized Agent Signature Date (Revised 412112022)