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PERMIT APPLICATIO11I <br /> /111111°#4Z/./----"A BUILDING ECHANICAL / PLUMBING /SIGN INKLER / DEMOLITION <br /> 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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3003 W.Casino Road#45;12"((to PROPERTY TAX#:28041000100200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT.INFORMATION, <br /> OWNER NAME:The Boeing Company TENANT NAME(If Commercial : <br /> OWNER MAILING ADDRESS: STREET P.O. BOX 3707 MS OH-13 <br /> CITYSea11e STATEWA ZIP 98124-2207 <br /> OWNER PHONE: 425-238-3768 'OWNER EMAIL: peter.d.mcguire@boeing.com <br /> CONTRACTOR NAME: Skanska <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE <br /> ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: Q‘Igi7J'S`) <br /> CONTRACTOR LICENSE#(REQUIRED):SKANSUB985RT (CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: I]OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Pete McGuire CONTACT PHONE: 425-238-3768 <br /> CONTACT EMAIL: peter.d.mcguire@boeing.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Office Contract Price of Work:$278,018 <br /> Proposed Use of Building:Assembly Heat Source: ❑Gas OElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> Install new modular building on the 45-12 site. <br /> GG=1511005=DTLCAPGG15N N013=CAPSX05=X=GG=PUN E=700 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <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 #°f List of Fixtures <br /> Fixtures Fixtures <br /> NC—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 /> SPRINKLER/,SUPPRESSION SYSTEM <br /> Chemical or Water I 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 current <br /> 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 <br /> 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,and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> .✓-1 <br /> f PEHMI I # �. <br /> �/ �e/�� adv ( � <br /> 6/20/17 .-.. <br />