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/PA. PERMIT APPLICATIMII J ) MECHANICAL <br /> / PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov( www.everettwa.gov/permits <br /> fir. -•.�a�^��•' � `.'z 7 '4* 4), ... �ti.+ �. M N//�y�t �':� <br /> i % .p Ems+ .,,,.. <br /> PROJECT SITE ADDRESS: 6400 36th Ave W, Everett, WA 98203 PROPERTY TAX#: 28040300300500 <br /> LEGAL for new construction: Short Plat/subdivision t)\i 34)I1ot No. (attach copy of long legal description) <br /> OWNER NAME: The Boeing Company TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 6400 36th Ave W <br /> c,,,, Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 206-407-2614 OWNER EMAIL: N/A <br /> CONTRACTOR NAME: MacDonald Miller <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> cry Seattle STATE WA ZIP 98106 <br /> CONTRACTOR PHONE: 206-407-2614 CONTRACTOR EMAIL: permits@macmiller.com <br /> macmiller.com <br /> CONTRACTOR LICENSE#(REQUIRED) MACDOFS98ORU CITY OF EVERETT BUSINESS LICENSE#(REQUIR 040665 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-407-2614 <br /> Joyce Copley CONTACT EMAIL: joyCe.COpley U©ITtacmiller.COnl <br /> ._ ..s. .. ". BUILDING (IT F , <br /> i <br /> if <br /> Existing Use of Building: Contract Price of Wor $ 19,125 _ <br /> Proposed Use of Building: Heat Source: OGas ■ - tr. ■Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: Dtommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> clad DS,&ID � <br /> ASSOCIATED BUILDING PERMIT#(if applicable): i'La(Jr 61,I �b) 18001, f t•J U ,C11. <br /> . EbANICAL PE ;: IS <br /> Sal <br /> a <br /> Type of Project: _New _ Addn _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 / inal <br /> Gas Piping Boiler Lavatory(Wash Basin D inkin. Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal —' Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <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.lam 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 State Contractors Law 18.27 RCW and 296.200A WAC. <br /> � ^ � City of Everett Official Use Only <br /> 901 ` vn�j <br /> 1/12/2016 PERMIT# 0'1 D l r D Ob <br /> Owner/Authorized Agent Signature Date (Revised 5/20/2016) <br />