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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 3003 West Casino Rd. Building 40-56.1 Col J-5 ' 3 16 .- Q!l( <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> Boeing Co. PO Box 3707 Seattle 98207 425.876-2594 <br /> TENANT NAME CONTACT FOR PERMIT PHONE 425.876-2594 <br /> Boeing Co. Leonard Astemborski E-MAIL leonard.astemborski@boeing.com <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> IMCO <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCECEnCONTRACT PRICE OF WORK • <br /> Mfg Electric Li Galli Other $500,000 <br /> WORK DESCRIPTION <br /> Foundation work for multiple opening press(MOP#3) <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range , <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construction.That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State Contractors Law 18.27 RCW and 296.200 WAC. <br /> Leonard Astemborski Feb. 4, 2013 <br /> Signature of Owner/Contractor/Authorized Agent Date • <br /> 'IL <br />