3003 W CASINO RD BLDG 40-51 2025-07-21

D L lv� 6..ILDING PERMIT APPLICAI ,,jN FFI ► 2024 CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and rollTeYo6, 00e$rbAE(RETrTview, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Ttrjet rU��nFop Box. CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)evere fwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL#: 28041000100200 u0_36 ciTy Everett STATE Wa ZIP 98204 SUITE/UNIT#:��— �IO-5-1 FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Boeing LEGAL DESCRIPTION for new construction: Short Plattsubdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Boeing Co OWNER MAILING ADDRESS: STREET 3003 West Casino Rd CITY 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 cry Seattle STATE WA ZIP 98109 CONTRACTOR PHONE:(206) 726-8000 CONTRACTOR EMAIL:Jason.Floyd@skanska.com PRIMARY CONTACT: l]OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-260-2668 Todd Haberlack CONTACT EMAIL:todd.j.haberlack@boeing.com BUILDING INFORMATION VALUATION OF WORK: $50,000 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 ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) []Other: DESCRIPTION OF WORK: 40-36 Tower Relocations design package 36.01 includes design work on: 1. 40-21 1st floor to install office cubicle and charging station (no building permit required). 2. 40-51 1 st floor to install relocated cage and gate for tool construction. 3. 40-36 1st floor relocate cage and create cased opening in existing wall. 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.f am the owner,or 1 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 Todd Haberlack, Digitally signed by Todd Haberlack, PERMIT# 48308 48308 Date:2024.02.05 08:37:10-08'00' Owner/A ized Agent Signature / Date (Revised 41212022)