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BL _.DING PERMIT APPLICATL,A <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)evereth-ia.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 3003 W CASINO ROAD PARCEL#: 28041100200100 <br /> CT, EVERETT STATE WA Zip 98204 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): 40-88 <br /> TENANT/BUSINESS NAME(if non-residential): BOEING COMPANY <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Company I Reid Jensen, Construction Manager <br /> OWNER MAILING ADDRESS: STREET 3003 West Casino Road, DR.W-7, Building 40-1, M/C: OH-13 <br /> CITY Everett STATE WA ZJP 98204 <br /> OWNER PHONE: 425-239-7368 OWNER EMAIL: Reid.Jensen@Boeing.com <br /> CONTRACTOR COMPANY NAME:all weather rooftop solutions inc �)(Y <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):602282985 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 43308 <br /> CONTRACTOR ADDRESS: STREET3308 pine st#B <br /> city everett STATE wa ZIP 98201 <br /> CONTRACTOR PHONE:425 258 4400 CONTRACTOR EMAIL:infor@allweatherroof.net <br /> PRIMARY CONTACT: ❑OWNER FA CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206 261 5996 <br /> bill o n e i l l CONTACT EMAIL:info@aIlweatherroof.net <br /> BUILDING INFORMATION <br /> VALUATION OF WORK:$612,500.00 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market vahie of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING: Office <br /> PROPOSED USE OF BUILDING: Office <br /> HEAT SOURCE: ❑✓Gas []Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑MUlti-Family-#Units: VICommercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ✓❑Repair ❑T.1. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK: <br /> Re-roof a portion of buildings 40 - 87 and 8$ with new PVC membrane. <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 taw. The granting of a pennit 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 Slate Contractors Law 18.27 RCW and 296.200A WAG <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owney uthor zed Agent Signature Date (Revised 412112022) <br />