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PERMIT APPLICATION <br /> BUILDING/ MECHANICAL/ PLUMBING/SIGN/SPRINKLER/ DEMOLITION <br /> 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 /> 14•44A'' !::.,Ai-i'4PrirLii,Y4fc4":*iww,,#itejoigcxo-ctoitotiotmATiofiWt"Mr4Vtl-q*: '--:'"'gVaf-PrrlilrfPA <br /> PROJECT SITE ADDRESS: 3003 W Casino Rd. PROPERTY TAX#: 28041000100200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ee 3 t ;f;' ,,. f" *eoNT M? 4l MATsot+ rG f NAT' <br /> OWNER NAME: Boeing Co TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 M/S OH-13 <br /> CITY Seattle STATE WA ZIP 98124-2207 <br /> OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com <br /> CONTRACTOR NAME: Boeing in house labor <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-260-2668 <br /> Todd Haberlack CONTACT EMAIL: todd.j.haberlack@boeing.com <br /> i,�,�. . ....gQav 6s✓'j✓xi �x t. . Me �,F �. _ ,. .. .x., � ,. .�.�� �� � � .� .. t. �,- .n. ? ..,. <br /> Existing Use of Building: N/A Contract Price of Work:$ 800.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial L Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: 40-24 building - Install (2)6 ft x 3 ft Pallet Racks on west side of Filler Cell fence near column J10. <br /> Pallet Racks were removed from main aisle north of previous 777 Filler Shop near column L11 <br /> to accommodate 777 WBJ jig removal and stored in 40-30 777x HBL Filler Cell near column H15. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ., .,MOC,SANIC/ PLROWS) L4.GA eft' 0.4 3#0014B> + 0.*** / 00001QN';g4 <br /> Type of Project: New Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of Lis f Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Back Preventer(Inside Bldg) <br /> _ Forced Air Systems Unit Heater _Bathtub al <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Re ' ration Shower Floor Drain <br /> Gas Fireplace ood Stove Kitchen Sink&Dispos Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hooku Other: Clothes W r Medical Gas <br /> Range Hood Wate ater Other: <br /> Exhaust F • (Service/Bar/Mop/etc.) Other: <br /> SPRI0I. L[R/fsUPPRESSS SYSTEIf ,, <br /> Number 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 f am authorized by the owner of this property to perform the work for which application is made, <br /> and l com with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ilkett <br /> /r PPMIT <br /> OCt OC) <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />