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(ii$ETTPERMIT APPLICATIOI <br /> BUILDING i iv.ECHANICAL / PLUMBING / SIGN i .orRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3003 W. Casino Rd,,- Bldgs. 40-87, 40-88, 40-92 PROPERTY TAX#: 28041100200100 <br /> l',) <br /> LEGAL for new construction: Short Plat/subdivision "it-91 <br /> Lj -`i` Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <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.mcgulre@boeing.com <br /> CONTRACTOR NAME: Skanska <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: NA CONTRACTOR EMAIL: NA <br /> CONTRACTOR LICENSE#(REQUIRED): SKANSUB985RT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044389 <br /> PRIMARY CONTACT: IX—] OWNER El CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-238-3768 <br /> Pete McGuire CONTACT EMAIL: <br /> peter.d.mcguire@boeing.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 100,000 <br /> Proposed Use of Building: Heat Source: ❑Gas ElElectric ElOther <br /> Building Type: ESFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El:lndustrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ET.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Project scope is to fabricate and install a fatigue test frame at the existing fatigue test site next to building 40-41. Installation will include <br /> several lift stages of the main overhead frame. <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 #of #of #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 /> SPRINKLER/ 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 ranting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the <br /> Building Dial before being authorized un r 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 pl with the State Contractors Law RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ( / /V c/ ) .7 PERMIT#8 l I <br /> Owyter/Authorized Agent Signature Date (Revised 9/23/2016) <br />