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• <br /> PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/DEMOLITION <br /> "1111 ":41,4•Liwi_ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> {Glueti RODE r: 5 t INFORMATIP rte ,g r <br /> �r�Blac�? nk�Ofi1YP�ease)„.� � � � .� f , .� ��..,... , � _� �.�:r� �<<.�._. . �`�., � �� �. ��` <br /> PROJECT SITE ADDRESS: 3003 W. Casino Rd. -Bldg 40-25 PROPERTY TAX#: 28041100200100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> fitat"mss ' '" nt.s < ..f N ACT 1 PO 101 ARM <br /> a e <br /> .s�« x��,Vis, cx`�:k <br /> OWNER NAME: The Boeing Co. TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS OH-13 <br /> cmSeattle STATE WA ZIP 98124-2207 <br /> OWNER PHONE: 425-238-3768 OWNER EMAIL: peter.d.mcguire@boeing.com <br /> CONTRACTOR NAME: General Construction Company(GCC) <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: NA CONTRACTOR EMAIL: NA <br /> CONTRACTOR LICENSE#(REQUIRED): GENERCC9830Z CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040599 <br /> � _ t <br /> PRIMARY CONTACT: NI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) �� � „ ��� <br /> CONTACT NAME: CONTACT PHONE: 425-238-3768 <br /> Pete McGuire CONTACT EMAIL: <br /> peter.d.mcguire@boeing.com <br /> x : w e01;,0 PEt ar T AP1 ICA1'1) N , WYiii:MSZI-ftilVitaiCSAILO <br /> ii:MSZI-ftilVitai <br /> Existing Use of Building: Contract Price of Work:$ 20,000 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial Illndustrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair 6ClT.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Building 40-25. Extend existing Van Deck in Bldg 40-25 approx. 50' north. Extend existing Gleason PowerTrac, and add a nev <br /> trolley and Jib Crane. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> t II(ILCHANiCAL'PERMI,t A ! ICA°TION< ` 0 `" ct ,niPL`UJIV ING'PERMIT 01PL1cAT1ONM _ . ` <br /> Type of Project: _New Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures <br /> 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 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/Mop/etc.) Other: <br /> Chemical or Water ' No.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 wi,the State Contracto . 7 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMI <br /> 11'1I1- (51. <br /> 0 . /Authorized Age ignature Da a (Revised 9/23/2016) <br />