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PERMIT APPLICATIO I , <br /> BUILDINU I MECHANICAL/ PLUMBING / SIGWVSPRINKLER/ 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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 284041000100200 <br /> 3003 W Casino Rd,Everett,WA 98204 <br /> LEGAL for new construction: Short Plat/subdivision SIC 10i P28RGE04U1 OF SEC EXC CASINO RD Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing TENANT NAME(If Commercial): Boeing Company <br /> OWNER MAILING ADDRESS: STREET Building 40-11,. B-4 p�( <br /> CITY EVERETT STATE WA zip 98204 Cj <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: MacDonald Miller <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> CITY Seattle STATE WA zip 98106 <br /> CONTRACTOR PHONE: (206) 768-4278 CONTRACTOR EMAIL: permits@macmiIler.com <br /> CONTRACTOR LICENSE#(REQUIRED): MACDOFS980RU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Joyce Copley CONTACT PHONE: (206)768-4278 <br /> CONTACT EMAIL: Joyce.Copley@macmiIler.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: CALL CENTER Contract Price of Work:$_ <br /> Proposed Use of Building- NO CHANGE Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial [Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ©T.I. ❑Sin ❑Sprinkler ❑Demolition []Change of Use <br /> DESCRIPTION OF WORK: <br /> Bldg 40-11-we are replacing qty(1$existing drinking fountains with new ones in same locations and removing gtyfjycompletely—value=$8,500 <br /> ASSOCIATED BUILDING PERMIT#(It ap Ilcaole): <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 PiPinq Boiler Lavatory(Wash Basin) J L 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:VAV Boxes Clothes 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 1 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.1 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 comply with rhe State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> —� <br /> p 1/12/2016 <br /> PERMITmo — OO <br /> Owne(((r////Authorized Agent Signature Date (Revised 10/12/2015) <br />