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PERMIT APPLICATION <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 l FAX 425-257-8857 l (E) everetteps@everettwa.gov l www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 3003 W Casino Rd. (40-31) <br />PROPERTY TAX #: 28041000100200 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Boeing Co TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET PO Box 3707 M/S 0H-13 <br />CITY Seattle STATE WA ZIP 98124-2207 <br />OWNER PHONE: 425-239-7983 <br />OWNER EMAIL: david.d.tyler@boeing.com <br />CONTRACTOR NAME: General Construction Company <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: N/A <br />CONTRACTOR EMAIL: N/A <br />CONTRACTOR LICENSE #(REQUIRED): GENERCC9830Z <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 040599 <br />PRIMARY CONTACT: X OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Dave Tyler <br />CONTACT PHONE: 425-239-7983 <br />CONTACT EMAIL: david.d.tyler@boeing.com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Warehouse <br />Contract Price of Work: $ $8,000 <br />Proposed Use of Building. Warehouse <br />Heat Source: []Gas ❑Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi -Family-# of Units: ❑Commercial Andustrial <br />Type of Project: ❑New ❑Addition ®Remodel ❑Repair ❑T.l. []Sign []Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />Install pallet racking (18 racks) on the third floor of the 40-31 factory building. Racks are 10' H x 12' L x S-6" D. <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />PLUMBING PERMIT APPLICATION <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _ Addn _Alteration <br />_Repair <br />Type of Project: New _Addn _Alteration _Repair <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C — Air Handling Units <br />Heat Pump <br />Toilet <br />Backflow Preventer (Inside Bldg) <br />Forced Air Systems <br />Unit Heater <br />Bathtub <br />Urinal <br />Gas Piping <br />Boiler <br />Lavatory (Wash Basin) <br />Drinking Fountain <br />Water Heater <br />Refrigeration <br />Shower <br />Floor Drain <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />Roof Drains <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other: <br />Exhaust Fan <br />Sink (Service/Bar/Mop/etc.) <br />Other: <br />SPRINKLER <br />/ SUPPRESSION <br />SYSTEM <br />Number of Heads <br />ACKNOWLEDGEMENT l 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. 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 She Contractors,/_ay✓ 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT # <br />(3 I ca IV -, c7D1 <br />Owner/Authorized nt ignat a Date (Revised 1011212015) P <br />d Z <br />