3003 W CASINO RD 2024 BLDG 40-26 2025-10-22

BUILDING PERMIT APPLICATIC,.. EVERETT CITY OF EVERETT PERMIT SERVICES 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 1 (E) PermitServices(a)everettwa.00v I (W) everettwa.aov/permits (Blue or Black Ink Only,Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL #: 28041000100200 cITy 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;INFORMATION_'�:. n OWNER NAME: Boeing Co OWNER MAILING ADDRESS: STREET 3003 West Casino Rd ,,T,. Everett STATE Wa z,P 98204 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberfack@boeing.com boeing.com CONTRACTOR COMPANY NAME: Skanska USA Building Inc. WA STATE CONTRACTOR LICENSE #(REQUIRED): SKANSUB985RT CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 044389 CONTRACTOR ADDRESS: STREET221 Yale Ave N #400 CITY Seattle STATE Wa ZIP 98109 CONTRACTOR PHONE: (206) 726-8000 CONTRACTOR EMAIL: Jason. Floyd@skanska.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 INFORMATION 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 ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Design Package 40-26.06 includes modifying 1st floor areas into material integration centers. Primarily installing shop fence, gates, and furniture. D E"EVE MAR 0 9 2024 ACKNOWLEDGEMENT.' I have reviewed this application and confirm the information contained herein is true and correct. Work done&j TaVtOFPE-i(,,,(iEREXITwith current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must' y 4� rpm the Building Official before being authorized under any circumstance. I am the owner, or I am authorized by the owner of this property to pertPft%FT tb�i'dlfi� fl�tion 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 f / 48308 Date: 2024.03.07 08:22:15-08'00' l_J6� 0 Owner/Authorized Agent Signature Date (Revised 412112022)