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____ . .---I __—_.__—� _— —__--- <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-8857 —wvrw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� � OG � 1�. <br /> � <br /> SITE ADDRESS PARCEL TAX I.D.# PERMITZ _ oO <br /> 3003 West Casino Rd. Building 40-92 2 1 <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRESS CITViZIP PHOtlE ' <br /> Boeing Co. <br /> PO Box 3707 Sealtle 90207 425.876-2594 <br /> TENANT NAME CONTACT FOR PEHMIT PHONE 425.876-2594 <br /> Boeing Co. Leonard Astemborski E-MAIL leonard astemborski(�ilboeing r.om <br /> A <br /> TBD <br /> CONTR.LICENSE M '-�L��I�/{�L.�� CO� <br /> USE Of BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Foad �ervice � Elec�iic�Ga� Olher � f�� ������ <br /> WORK DESCRIPTION <br /> r; �kt.�'.�E� �����.i,�c, r �l � .-� lR�o <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilel _ _ A C–air handling unils <br /> Balhtub __ Forced air systems <br /> Lavatory(wash basinl __ Gas piping <br /> Shower ...____ Waterheater <br /> Kitchen sink 8 disposal _ __ Gas��ieplace <br /> - Dishwasher _ _ __ Gasrange <br /> Clothes washer __ Clolhes dryer <br /> ...— Waterhealer --_ Range hoad <br /> � S�nk(service barmop etr. 1 _ _ Exhaust lan <br /> BacFllow preventer Heat pump <br /> Urinil . Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Reingeration <br /> Grease�rap __ . _ Woodstove <br /> .._ - Rool drains _ _ Olher--------.-- <br /> . _. Other . _ __ ._--._.--- -----�--- <br /> CITY OF EVERETT LOCAI SALES TA7(CODE IS 9f05 <br /> I hereby ceritdy that I have iead and ezamined Ihis appfication and know the same to be irue and correct. All provisions of laws and <br /> o�d�naces govern�ng this type ol wo�k will 6e complied wilh whether specilied herein or not. The grantinq of a permit does not presume <br /> to grve aidhoiay lo violate or cancel Uie prowson ol any other stale or local law regulating construclion or Ihe perlormance of <br /> cons�ruclwn That I am authorized by the owner ol Ihis properly to perlorm Ihe work for which application is made and I comply wdh Ihe <br /> State Coniractors Law 1827 HCW and 296200 WAC. <br /> Leonard Astemborski 12/3/12 <br /> S�gnatwe ol Owner�ConlractonAulhaized Agenl Date �/Z <br />