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PERMIT APPLICATION
<br /> BUILDING /MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION
<br /> 477
<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
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<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)
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<br /> OWNER NAME: Boeing Co TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET PO Box 3707 M/S OH-13
<br /> cm, Seattle STATE WA ZIP 98124-2207
<br /> OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com
<br /> CONTRACTOR NAME:N/A
<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: ISI 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 /> at :t _. BWII.ONO;PERMIT APPLICATIO ai.a _ ,e 1a. a ,ti_ 33
<br /> Existing Use of Building: N/A Contract Price of Work:$TBD
<br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other
<br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial I. Industrial
<br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair MT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use
<br /> DESCRIPTION OF WORK: Reference only-permit number requested per the city for easy reference.
<br /> The Boeing Company is in the process of upgrading the 45-03 paint hangar at the Everett site. These upgrades will include provisions for painting a new larger aircraft. The existing alternative means of
<br /> compliance agreement does not apply to the electrical permits for these upgrades as the new larger aircraft encroaches on the existing hazardous classif ed area boundaries,and the electrical codes have
<br /> been revised to be more restrictive. Asa result,electrical permits will require conformance to current electrical code unless an updated alternative means of compliance is agreed upon by the City of Everett.
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> MECHANICAL PERMIT APPLICATION „ r ., . PLUMBING:PERMITAPPLICATIONt _,
<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 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 /> r SPR,INK ER ISUPP,R€SSIONnSYSTEM ah
<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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC.
<br /> �� ! ZCity of Everett Official Use Only
<br /> / �Z J�� PERMIT#-� ( (� \Ir.
<br /> 0I5
<br /> Owner/Authorized Agent Signa/ure Date / (Revised 10/12/2015)2t
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