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���* PERMIT APPLICATIOI^'
<br /> BUILDIN�'MVIECHANICAL/ PLUMBING/SIGN I �INKLER/ 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. �a� PROPERTY TAX#: 2g041000100200
<br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description}
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<br /> OWNER NAME: Boeing Co TENANT NAME(if Commercial):
<br /> OWNER MAILING ADDRESS: srReeT PO Box 3707 M/S OH-13
<br /> crrv Seattle STATE WA ziP 98124-2207
<br /> OWNER PHONE: 425-239-7983 OWNER EMAIL: david.d.tyler@boeing.com
<br /> CONTRACTOR NAME; General Construction Company
<br /> CONTRACTOR ADDRESS: srReer
<br /> ��TY STATE ZIP
<br /> CONTRACTOR PHONE: CONTRACTOR EMAIL:
<br /> CONTRACTOR LICENSE#(REQUIRED): GENERCC9830Z CIN OF EVERETT BUSINESS LICENSE#(REQUIRED): 040599
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<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: N/A Contract Price of Work:$
<br /> Proposed Use of Building: Storage of GlycoUSkydrol Heat Source: ❑Gas ❑Electric ❑Other
<br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Famil -#of Units: ❑Commercial C�Industrial
<br /> Type of Project: L�New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use
<br /> DESCRIPTION OF WORK:
<br /> The 747 Turn Fixture is being relocated into the FAIT Tool in the 40-23 bldg. This project is to provide the
<br /> foundation that the tool sits on.
<br /> ASSOCIATED BUILDING PERMIT# if a licable :
<br /> � x.,`,�`�MECHANI�AI.,P�R�If��T API�I.#C1�TION; � , ,, �,,, , ;-.��:1�`INIBII�C; PERIVII'�',AP�LMCATION, r;,�`� �.�,,£ _;�<:
<br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New Addn _Alteration _Repair ! fi
<br /> #of List of Fixtures #of Lisf of Fi�ctures #of List of Fixtures ��f List of Fixtures
<br /> Fixtures Fixtures Fixtures Fiztures
<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 Ftoor 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:
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<br /> Number of Heads
<br /> ACKNOWLEDGEMENT.�!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 O�cia/before being authorized under any circumstance.l am the owner,or I am authorized by the owner of this property to pertorm the work for which application is made,
<br /> and I compty with the State Contract s w 18.27 RCW and 296.200A WAC.
<br /> City of Everett Official Use Only
<br /> � PERMIT#
<br /> � � _ � (� C;� �ct�o� —�3
<br /> Own Au orized Agent Sign re Date (Revised 10/12/2015)
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