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PERMIT APPLICATIQ i <br /> BUILDIII5 i MECHANICAL/ PLUMBING /SIGN ) SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 3003 W Casino Rd,Everett,WA 98204 1 284041100200100 <br /> LEGAL for new construction: Short Plat/subdivision SEC 10T P28RGE04ElnOFSECEXcCASINO RD Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing TIENANT NAME(If Commercial): Boeing Company <br /> OWNER MAILING ADDRESS: STREET Building 40-86 Z I 1 ,uj -F I 1 ,rj �j�,�j (j�,10 <br /> CITY EVERETT � STATE WA zip 98204 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: MacDonald Miller <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> ciTy Seattle STATE WA zip 98106 <br /> CONTRACTOR PHONE: (206) 768-4278 CONTRACTOR EMAIL: permits@macmiller.com <br /> CONTRACTOR LICENSE#(REQUIRED): MACDOFS980RU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Joyce Copley CONTACT PHONE: (206) 768-4278 <br /> CONTACT EMAIL: Joyce.Copley@macmiller.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: CALL CENTER Contract Price of Work:$ 7r <br /> Proposed Use of Building: NO CHANGE Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition []Remodel ❑Re air EIT.I. ❑Sin ❑S rinkler ❑Demolition ❑Chan a of Use <br /> DESCRIPTION OF WORK: <br /> Bldg 40-86-we are replacing qty(6)existing drinking fountains with new ones in same locations—value=$12,750 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn X Alteration Repair Type of Project: _New Addn Alteration _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 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 iShower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other:VAV Boxes Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/'SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT.I 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 State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT I , O <br /> 1/12/2016 '� n l <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />