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I I 4-77- PERMIT APPLICATIC <br /> BUILDIN I MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION <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 <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 3003 W Casino Rd,Everett,WA 98204 284041100200100 <br /> LEGAL for new construction Short Plat/subdivision SEC 10rWF28RGE04E1/2OFSEC EECCASINO RD Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing TENANT (If Commercial)BOemg Company <br /> OWNER MAILING ADDRESS: STREET Building 40-81, �FoaZ \ lj f H 0 1 P 10 Q 1 (p {-} 10 , t-i-(°i Lb, to D, Pip) <br /> CITY EVERETT -- §TATE WA ZIP 98204 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: MacDonald Miller <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> aTv Seattle STATE WA ZIP 98106 <br /> CONTRACTOR PHONE: (206) 768-4278 CONTRACTOR EMAIL: permltS@macmiller.com <br /> CONTRACTOR LICENSE#(REQUIRED): MACDOFS98ORU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: 0 OWNERx❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Joyce Copley CONTACT PHONE: (206) 768-4278 <br /> CONTACT EMAIL: Joyce.Copley@macmiller.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: CALL CENTER Contract Price of Work: $_ 0 <br /> Proposed Use of Building: NO CHANGE Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New DAddition ❑Remodel El Repair ©T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Bldg 40-81 —we are replacing qty(10)existing drinking fountains with new ones in same locations—value=$21,250 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn X 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:VAV Boxes Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> C:?-A9.) Cc: PERMIT# VlD \l 0f <br /> 1/12/2016 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br /> � � e_S <br />