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i � PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425 257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. rt <br />PERMIT ft <br />3003 West Casino Rd. Building 40-04.1 A011, Iq <br />� r , 3 r_ <br />LEGA LOT NO. <br />BLOCK <br />TRACTOR SUBDIVISION x <br />DESC. <br />ADDRESS CITY�ZIP PHONE <br />OWNER <br />PO Box 3707 Seattle 98207 425.876-2594 <br />Boeing Co. <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE ;2s.876-2594 <br />Boeing Co. <br />Leonard AslembOrski 6N AIL lconard aslemborski®Meing tom <br />CITY,Z1P PHONE <br />Boeing Co. <br />CONTq. LICENSE M <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />USE OF BUILDING <br />Mfg I <br />n <br />L�Electric �GaoOther <br />53.000 <br />WORK DESCRIPTION <br />Install 2 sections of pallet rack <br />PLUMBING ��— <br />MECHANICAL <br />N0. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />NC —air handling units <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />_Gas <br />piping <br />_ <br />Shower <br />_Water <br />heater <br />_ <br />Kitchen sink 8 disposal <br />,_ <br />Gas fireplace <br />_ <br />_ <br />Dishwasher <br />,_ <br />Gas range <br />Clothes dryer <br />_ <br />Clothes washer <br />Range hood <br />_ <br />Water treater <br />Sink (service/bar/mop/etc.) <br />_Exhaust <br />fan <br />_ <br />Backllowprevenler <br />Heat pump <br />_ <br />Urinal <br />_ <br />Unit heater <br />Drinking Fountain <br />_Boiler <br />Aelrigeration <br />_ <br />Floor drtin <br />Woodstove <br />_ <br />Grease trap <br />Other <br />Roof drains <br />_ <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cedlily That I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to vidale or cancel the provision cl any other state or local law regulating construction or the performance of <br />the for which application is made and I comply with the <br />construction. That I am authorized by the owner of finis property to perform work <br />Slate Contractors Law 18.27 RCW and 298.200 WAC. <br />Leonard Astemborski 3112/13 <br />1Z <br />$ignaUe o Owner/Contractor/Authorized ant Date 1 <br />