Laserfiche WebLink
PERMIT APPLICATIO!t <br /> BUILDING / MECHANICAL / PLUMBING /SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4e7T 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 /> (Blue or Black Ink Only Please) PROJECT SI" INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 28041000 1 00200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing (Building 45-01) TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3003 W Casino Rd, Everett 98204 <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE: 206-407-2614 OWNER EMAIL: permits@macmlller.com <br /> CONTRACTOR NAME: MacDonald Miller <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> c,Ty Seattle STATE WA ZIP 98106 <br /> CONTRACTOR PHONE: 206-407-2614 CONTRACTOR EMAIL: permits@macmiller.com <br /> CONTRACTOR LICENSE#(REQUIRED): MACDOFS980RU ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: ❑ OWNER 13CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-407-2614 <br /> Joyce Copley CONTACT EMAIL: joyce.COpley macmiller.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Manufacturing Contract Price of Work:$ 5,000 <br /> Proposed Use of Building. Heat Source: ❑Gas Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached []Duplex []Multi-Family-#of UnitsCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ®Remodel ❑Repair ❑T.i. []Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Replacing ( ) existing drinking fountains with new ones in same locations and removing qty (1) completely <br /> Grids- D7 & P6 <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> MECHANICAL PERMITAPPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn _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) 9 Drinking Fountain <br /> Water Heater Refri eration Shower Floor 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/Mo /etc. Other: <br /> SPRINKLER I 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 /> (;0 <br /> 4/10/2017 PER (_1L r y O <br /> Owner/Authorized Agent Signature Date (Revised 512012016) <br />