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PERMIT APPLICATIC . <br /> /111P**4:1"---1 BUILDI411 I MECHANICAL I PLUMBING/SIGPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ii 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 Please); PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3003 W Casino Road LA 0 - 22, ``{ c PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Company TENANT BUSINESS NAME(Commercial): Boeing Commerical <br /> OWNER MAILING ADDRESS: STREET 100 North Riverside <br /> crry Chicago STATE Illinois ZIP 60606 <br /> OWNER PHONE: N/A OWNER EMAIL:N/A <br /> CONTRACTOR NAME: kget Sound Fire Protection Inc. <br /> CONTRACTOR ADDRESS: STREET 1429 Ave D#294 <br /> CITY Snohomish STATE WA zP 98290 <br /> CONTRACTOR PHONE:425-252-0065 CONTRACTOR EMAIL:michael@pugetsoundfireprotection.com <br /> CONTRACTOR LICENSE#(REQUIRED):CC PUGETSF889PD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 53696 <br /> PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(425)252-0065 <br /> Michael Prudnick CONTACT EMAIL:michael@pugetsoundfrreprotection.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Manufacturing Contract Price of Work:$30,000.00 <br /> Proposed Use of Building: Same Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR DTownhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New EAddition ❑Remodel ❑Repair DTI. ❑Sign ❑✓Sprinkler ❑✓Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Demo Environmental Booth For Relocation <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC–Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilator Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/.SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression Systemi No.of Heads ,o <br /> Chemical Suppression System ( 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/am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Cont • s Law :.27 RCW and 296.200A WAC. <br /> / / . ' City of Everett Official Use Only <br /> / / / /. 3- c Gp PER `ty1.D3 - O`r <br /> '"4--- <br /> ,. ,n; 1,''t Vi -' Ag t lgna Tie — ✓ Date (Revised 10/10/2018) <br /> Z <br />