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1 <br /> PERMIT APPLICATION <br /> � BUILDING CHANICAL/ PLUMBING /SIGN / I I tINKLER/ 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 1 www.everettwa.gov/permits <br /> (B1ue or Black`Itnk Orly Please) .'` , PROJECT <br /> ✓SITE INFORMATION,s r ` ,.,:.�. ; } . :,� >,; rix a o.. _ <br /> PROJECT SITE ADDRESS: 3003 W. Casino Rd. - Bldg 4)45 V- PROPERTY TAX#: 28041 1 002001 00 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> 3 6 Y 'sR n 4 <br /> f r_ :CONTACT INFORMATION:i y <br /> OWNER NAME: The Boeing Co. TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS OH-13 <br /> CITY Seattle STATE WA ZIP 98124-2207 <br /> OWNER PHONE: 425-238-3768 OWNER EMAIL: peter.d.mcguire@boeing.com <br /> CONTRACTOR NAME: General Construction <br /> CONTRACTOR ADDRESS: STREET <br /> CITYSTATE ZIP <br /> CONTRACTOR PHONE: NA CONTRACTOR EMAIL: NA <br /> CONTRACTOR LICENSE#(REQUIRED): GENERCC9830Z CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040599 <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please1Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-238-3768 <br /> Pete McGuire ,CONTACT EAIL: <br /> peter.d.mcguire@boeing.com <br /> ..,,. .r,,,, ,,, M ;..EsBUIILDING PERMIT APPLICAT!ON r <br /> Existing Use of Building: Contract Price of Work:$ 175,000 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial alndustrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair EiT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> INSTALL NEW HIGH SPEED ROLL UP DOOR AT THE NORTH END OF THE 40-33 BUILDING. <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 /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures 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 I 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 <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 lam authorized by the owner of this property to perform the work for which application is made, <br /> and I compl with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only r <br /> 13 PER.. <br /> M'S 1 %62--- 0 <br /> %V1U 'N <br /> 12 Ck,z . ' <br /> Owner/Authorized A nt Signature Date (Revised 9/23/2016) <br />