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PERMIT APPLICATIC�
<br /> BUILDI�irIECHANICAL/ PLUMBING /SIGM�I�RINKLER/ DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 ( FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits
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<br /> PROJECT SITE ADDRESS: 3003 W. Casino Rd. - Bldg 40-05 PROPERTY TAx#: 28041100200100
<br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of Iong legal description)
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<br /> ' �;CONTACT I�IFORMATION '
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<br /> OWNER NAME: The Boein C0. TENANT NAME�If Commercial):
<br /> OWNER MAILING ADDRESS: srReeT PO Box 3707 MS OH-13
<br /> . cin, Seattle STATE WA ZiP 98124-2207
<br /> OWNER PHONE: 425-23$-3768 OWNER EMAIL: peter.d.mcguire@boeing.com
<br /> CONTRACTOR NAME: �Nashington Patriot
<br /> CONTRACTOR ADDRESS: srReer
<br /> CITY STATE ZIP
<br /> CONTRACTOR PHONE: NA CONTRACTOR EMAIL: NA
<br /> CONTRACTOR LICENSE#(REQUIRED): CC WASHIPC906BJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): OS39O$
<br /> PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-238-3768
<br /> Pete McGuire CONTACT EMAIL:
<br /> peter.d.mcguire@boeing.com
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<br /> ° t.. ; �,:BUIL'.DING PERMIT APPLwCAT,ION,...:�,���; ,,. „oh�";' .'
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<br /> Existing Use of Building: Contract Price of Work:$ 112,000
<br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other
<br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial �Jndustrial
<br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair 6t]T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use
<br /> DESCRIPTION OF WORK:
<br /> Install pallet rack(4'wide x 14'tall)and fire suppression system in the 40-05 building. These pallet racks will be use to store airplane seats,
<br /> panels,windows,waste tanks, etc.
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> �.; ,',H,�VIEC�IANICAL PERMIT,AF�����Aa`ION,�..,'.,; �,...t.�..,._.,. „ PLUMBrNG`��RMIT,AP'P,,,L�Cq,T�ON; , .,'.,, ' `
<br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn Alteration _Repair
<br /> #of List of Fixfures #�f Lisf of Fixtures #of �]st of Fixtures #of List of Fiztures
<br /> Fixtures Fiztures 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) Drinking 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 /> SPRINKLER/:SUPPRESSION SYSTEM
<br /> Chemical or Water No. 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 musf 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 O 'ial before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made,
<br /> and I c pl with the State Cont tors Law 18.27 RCW and 296.200A WAC.
<br /> City of Everett Official Use Only
<br /> ���_v � / � PERMIT# � D�r�,
<br /> , l� 7 - r ��� I- J
<br /> ner/Authorized gent Signature Date (Revised 9/23/2016) � '1
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