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I I PERMIT APPLICATIOI`�I�I�I
<br /> BUILDINb I INECHANICAL/ PLUMBING /SIGN I �PRINKLER/ 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
<br /> : ' F` '{ � PROJ��T SIT�;i�IFQ1��fIATIfJh� �� :
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<br /> PROJECT SITE ADDRESS: 3003 W Casino Rd. PROPERTY TAX#: 2g041 1 002001 00
<br /> LEGAL for new construction: Short PlaUsubdivision �J• Lot No. (attach copy of long legal description)
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<br /> CONTAC't IN`FORMATION , ,, „ ,
<br /> OWNER NAME: Boeing Co TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: srReer PO Box 3707 M/S OH-13
<br /> ciTv Seattle STATE WA zia 98124-2207
<br /> OWNER PHONE: 425-239-7983 OWNER EMAIL: david.d.tyler@boeing.com
<br /> CONTRACTOR NAME
<br /> CONTRACTOR ADDRESS: sTReer
<br /> CITY STATE ZIP
<br /> CONTRACTOR PHONE: CONTRACTOR EMAIL:
<br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):.�1'�35�
<br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-239-7983
<br /> Dave Tyler coNTacT ennai�: david.d.tyler@boeing.com
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<br /> Existing Use of Building: Manufacturing Contract Price of Work:$
<br /> Proposed Use of Building: Pallet Rack Heat Source: ❑Gas ❑Electric ❑Other
<br /> Building T pe: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial �Industrial
<br /> Type of Project: �New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use
<br /> DESCRIPTION OF WORK:
<br /> Building No. 40-23.4-Col I-5.5. Install 14' Pallet Rack-Crane Maintenance Crib
<br /> ASSOCIATED BUILDING PERMIT# if a licable:
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<br /> Type of Project: _New Addn _Alteration Repair Type of Project: New _Addn Alteration Repair
<br /> #of List of Fixtures #of List of Fi�ctures #°f List of Fixtures #of List of Fixtures
<br /> Fiutures Fixtures Fi�ctures 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 /> SPRIMKLER/:SIJPPR�SS�ON.SYSTEM,°,
<br /> Number of Heads
<br /> ACKNOWLEDGEMENT.�I have reviewed this application and confirm the information contained he�ein 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 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 Evereft Official Use Only
<br /> / � � / /� PERMIT#�� o ✓
<br /> OwnerlAuthorized Age ignature Date (Revised 10/12/2015) ��
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