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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> grr <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE'iNFORMATIION ,. ' <br /> PROJECT SITE ADDRESS: 3003 W Casino Rd/ PROPERTY TAX#: 280415000100100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION; , <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: TBD-The contract is out for bid <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): TBD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): TBD <br /> PRIMARY CONTACT: 121 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 /> ''BUILDING'PERMITAPPIJCATION,,_ „-A ._ <br /> Existing Use of Building: N/A Contract Price of Work:$ 460' , 371.0(j <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial I2fIndustrial <br /> Type of Project: ❑New ❑Addition ®Remodel ❑Repair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Access, demo and replace walls vieittrattmlaicgajadisweS. Minor reconfiguration of bathroom partion walls. <br /> eLA - 110-- 0,I'1 e L. GI L¢ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION '` ' '' PLUMBINGPERMIT APPLICA <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New Addn _Alterati• Repair <br /> Fixtures List of Fixtures Fixtures List o ixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures <br /> A/C-Air Handling Units H>- Pump Toilet ackflow Preventer(Inside Bldg) <br /> Forced Air Systems nit 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&Dispos. Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hoo. ps Other: Clothes Washer Medical Gas <br /> Range Hood Water Heate Other: <br /> Exhaust Fa Sink(Se e/Bar/Mop/etc.) Other: <br /> ,,, `SPRI "' ,LER/TRUPPRESSION SYSTEM( <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 I am authorized by the owner of this property to perform the work for which application is made, <br /> and I co•• ith the State C tractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Z ' <br /> Pr'fk-?)\-gl()q-—OL 1 n 14. <br /> • 'er/Authorize Agent nature Date (Revised 10/12/2015) <br /> 01--;) <br />