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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 98209 <br /> (P)425-257-8810 1 FAX 425-2578857 1(E)everetteps@overettwa.gov I www,everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION 6-/E3—/-7 <br /> PROJECT <br /> -/8- <br /> PROJECT SITE ADDRESS: 3003 W. Casino RCI. PROPERTY TAX#: /a0c(Z3 2 Z2. 280).60 <br /> LEGAL for new construction: Short Plat/subdivislon O 5� &-13, ZA1rl-.Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: The Boeing Co. TENANT NAME(if Commerclal): Boeing <br /> OWNER MAILING ADDRESS: STREU P.O. Box 3707 <br /> CITY Seattle STATE WA n, 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME; General Construction <br /> CONTRACTOR ADDRESS: STREET P.O. Box 44 <br /> r, Mukilteo STATE WA ZIP 9$ <br /> CONTRACTOR PHONE: 4255-294-6946 1CONTRACTOR EMAiL: <br /> CONTRACTOR LICENSE#(REQUIRED): GENERCC9840CiTYOF EVERETT BUSINESS LICENSE#(RE U1RED): d�OS <br /> PRIMARY CONTACT: ❑OWNER M CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-367-2143 <br /> Kari Hammer CONTACT EMAIL:kari.hammer@kiewit.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Bulldln : Contract Price of Work, � G7a <br /> Proposed Use of Building: Heat Source: El Gas ❑Electric WOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached [:]Duplex ❑Multi-Famll -#of Units; ❑ ercial I9Industrial <br /> Type of Project: []New ❑Additlon ❑Remodel ❑Re air ❑T.I, ❑Sign ❑S rinkler ❑Demolition ®.Change of Use <br /> DESCRIPTION OFWORK: 09UU S/ti/K <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: ._,New_ Addn _Alteration Repair Type of Project: _New _Addn _P Iteration _-_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 Unils 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 Refrigeratlon Shower Floor Draln <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 I Sink(Service/Bar/Mop/etc,) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water JNo.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(lie <br /> Building Oliiclal 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 Slate Contractors Law 18.27 RCW and 296.200A WAC, <br /> City of Everett Official Use Only <br /> 7P- rRMIT <br /> Ow er/Authrf zed Agent Signature Date (Revised 9/23/2016) <br />