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PERMITAPPLICATION <br /> C1TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 3003 West Casino Rd. Building 40-26 N line , ��7��,.��� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> Boeing Co. PO Box 3707 Seattle 98207 425.876-2594 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE 425.876-2594, <br /> Boeing Co; Leonard Astemborski leonard.astemborski@boeing.com <br /> E-MAI L <br /> CONTRACTOR ADDRESS CITY/21P PHONE <br /> General Construction <br /> CONTR._LIGENSE# <br /> USE OF BUILDING HEAT SOURCE GONTRACT PRICE OF WORK <br /> Office/break _ � � � $ 1,400,000 <br /> Electric Ga Other <br /> WORK DESCRIPTION <br /> 40-26 N line van deck a building within a building. 787 5X5 Rate Readiness, <br /> PLUMBING _ MECHANICAL <br /> NO. 7YPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> . Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove : <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ,- <br /> I hereby ceritify that I have read and examined this application and know the same ta be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> ta give authority to violate or cancel the provision nf any other state or local law regulating construction or the performance of <br /> construction.7hat I am authorized by the awner of this property to perform the work for which application is made and I comply with the <br /> State Contractors Law 18,27 RCW and 296.200 WAG. <br /> Leonard Astemborski 3/27/13 <br /> Signature of Owner/Cantractor/Authorized Agent Date 1�� <br />