3003 W CASINO RD BLDG 40-56 2025-10-22

,i 0 BUILDING PERMIT APPLICATION -'D ECEOVE CITY OF EVERETT PERMIT SERVICES CCDD nn pp E V E R E T T SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements a mbeFI58,pQ8re2 % for re D, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop I�ox. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W�'g�elfvlov� IPTT ° (Blue°or,Black,�Ink40nly Please); � PROJECT.�ITE.INEORMATIO'N 11171 i"VBry6.S'.. PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL #: 28041000100200 clTy Everett STATE Wa zIP 98204 SUITE/UNIT #: 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°IM,FORMATION 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.haberlack@boeing.com CONTRACTOR COMPANY NAME: General Construction Company WA STATE CONTRACTOR LICENSE #(REQUIRED): GENERCC98 OZ CITY OF EVERETT BUSINESS LICENSE #(REQUIRED) 40599 CONTRACTOR ADDRESS: STREET 3 CITY STATE ZIP CONTRACTOR PHONE: 206-255-8457 CONTRACTOR EMAIL: jerry.stubbs@kiewit.com PRIMARY CONTACT: ❑� OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Todd Haberlack CONTACT PHONE: 425-260-2668 CONTACT EMAIL: todd.j.haberlack@boeing.com BUILDING IMFORMAT10N,, , VALUATION OF WORK: $150,000 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: In the 40-56 - Remove old fencing, install strut supports for new electrical and data, and training areas. Relocate existing Power, Data and Air for new testing productions spaces. Install fencing for training area. 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. Todd Haberlack, Digitally signed by Todd Haberlack, 48308 48308 ` bate: 2024.02.08 11:35:29-08'00' Signature City of Everett Official Use Only PERMIT # �A -day Date (Revised 412112022)