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PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> OL (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 28041000100200 <br /> 3003 W Casino Rd, Everett,WA 98204 <br /> LEGAL for new construction: Short Plat/subdivision SED,oTVdFH6RG N1112OFSEC EX°CASINO RD Lot No. (attach copy of long legal description) <br /> -"'fib TACT INFORMATION <br /> OWNER NAME: Boeing TENANT NAME(If Commercial): Boeing Company <br /> OWNER MAILING ADDRESS: STREETilding 45-640 C <br /> CITY VERETT STATE zip 98204 <br /> OWNER PHONE: `�f OWNER EMAIL: <br /> CONTRACTOR NAME MacDonald Miller <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> crry Seattle STATE WA zip 98106 <br /> CONTRACTOR PHONE: (206) 768-4278 CONTRACTOR EMAIL: permits@macmiller.com <br /> CONTRACTOR LICENSE#(REQUIRED): MACDOFS980RU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: ❑ OWNER x❑CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Joyce Copley CONTACT PHONE: (206) 768-4278 <br /> CONTACT EMAIL: Joyce.Copley@macmiller.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: CALL CENTER Contract Price of Work:$/ 2,125 <br /> Proposed Use of Building. NO CHANGE Heat Source: ❑Gas{ ❑Electric ❑Other <br /> Building Type ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Re air ©T]. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> Replacing qty (1) existing drinking fountain with a new one in same location — value = $2,125 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn X Alteration _Repair Type of Project: New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) 1 Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove lKitchen Sink&Disposal lGrease Trap <br /> Gas Range Ducting Dishwasher lRoof Drains <br /> Clothes Dryer Hookups Other:VAV Boxes IClothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mo /etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number of Heads <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 law. The granting of a permit 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/am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296 200A WAC. <br /> City of Everett Official Use Only <br /> PER I <br /> J ( 1/12/2016 b <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />