3003 W CASINO RD BLDG 40-01 2019-01-25

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING/SIGN /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE,INFORMATION PROJECT SITE ADDRESS: 3003 W Casino Rd. Oily. OPERTY TAX#: 28041000100200 LEGAL for new construction: Short Plat/subdivision �f Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Boeing Co TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 3707 M/S OH-13 cm' Seattle STATE WA ZIP 98124-2207 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com CONTRACTOR NAME: Boeing CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: N/A CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): NA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): NA PRIMARY CONTACT: MI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-260-2668 Todd Haberlack CONTACT EMAIL: todd.j.haberlack@boeing.com BUILDING PERMIT APPLICATION Existing Use of Building: N/A Contract Price of Work:$ 24,000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ftilndustrial Type of Project: ❑New DAddition ®Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Dismantle finger racks (5 sections) in the 40-23.1 and relocate/assemble them in the 40-01 column E12 ASSOCIATED BUILDING PERMIT#(if applicable): ,MECHANICALPERMIT APPLICATION 3%,,A1 .; PLUMBING;PERMIT,APPLI,CATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New Addn _Alteration _Repair Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: ,SPRINKLER/SUPPRESSION SYSTEM Number of Heads 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 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 Building Official before being authorized under any circumstance.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City/of Everett Official Use Only 1/ �/ / -7/ (e PERMIT# �1 SJ J'��/� Owner/Authorized Agent Signature ate (Revised 10/12/2015)