Laserfiche WebLink
PERMIT APPLICATION <br /> ,11111P,"/"—^_ BUILDING/MECHANICAL/PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> f ,f CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Meese) <br /> PRO,IEC'I`SITE INFORMATION � ;; ` y ,,.. <br /> PROJECT SITE ADDRESS: 3003 W. Casino Rd. Bldg 45-12 PROPERTY TAX#: 28041500400500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION: <br /> OWNER NAME: The Boeing Co. TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS OH-13 <br /> CITY Seattle STATE WA ZIP 98124-2207 <br /> OWNER PHONE: 206-650-0100 OWNER EMAIL: james.p.nuerenberg@boeing.com <br /> CONTRACTOR NAME: Skanska <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: NA CONTRACTOR EMAIL: NA <br /> CONTRACTOR LICENSE#(REQUIRED): SKANSUB985RT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044389 <br /> PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-650-0100 <br /> Jim Nuerenberg CONTACT EMAIL: <br /> james.p.nuerenberg@boeing.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ 15,000 <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial DJndustrial <br /> Type of Project: ❑New DAddition ❑Remodel ❑Repair 8T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Three sections of pallet rack in Building 45-12 to support test operations. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ,.( <br /> MECHANICAL.PERMIT APPLICATION PLUMBING PERMI.TAPPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #ofList 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) 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 /> SPRINKLED 1 SUPPRESSION SYSTEM,::. <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.lam 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 /> A City of Everett Official Use Only <br /> PERMIT# <br /> �-- <br /> k"011-119--- vnID fl DI?) <br /> Owner/Authoriz gent Signature C Date (Revised 9/23/2016) <br />