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3003 W CASINO RD BLDG 45-07 2018-09-20
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3003 W CASINO RD BLDG 45-07 2018-09-20
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Last modified
9/20/2018 2:47:07 PM
Creation date
4/30/2018 8:36:26 AM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 45-07
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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 /> OOL (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 SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3003 W. Casino Rd. Everett, WA 98203, e <br /> LDG 45-07 1 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Company TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS1 F09 <br /> cTy Seattle STATE WA zip 98124 <br /> OWNER PHONE: N/A OWNER EMAIL: N/A <br /> CONTRACTOR NAME: University Mechanical Contractors Inc. <br /> CONTRACTOR ADDRESS: STREET 11611 49th Place West <br /> ciTv Mukilteo STATE WA zip 98275 <br /> CONTRACTOR PHONE: 206.364.9900 CONTRACTOR EMAIL: N/A <br /> CONTRACTOR LICENSE#(REQUIRED): #UNIVMC'343N9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):578-025-176 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.369.2669 <br /> Ron Clark Sr. CONTACT EMAIL: rclarksr@umci.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Boiler Plant Contract Price of Work: $ <br /> Proposed Use of Building: Boiler Plant Heat Source: I IGaS ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex []Multi-Family-#of Units: OCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition I IRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Move and re-install two sinks and associated copper pipe <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn ,/Alteration _Repair <br /> #of #of #of #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 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 IMedical 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 thilication 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 la a gr ng 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-6uthoriz nder any circumstance.1 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 Cont ors Law 18.27 RCW and 296200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> O er orized Agent Signature I Date (Revised 9/23/2016) <br />
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