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101-77- PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> �VPROJECT SITE ADDRESS: 3003 W Casino Rd. Everett --"t< PROPERTY TAX#: 284041 1 00200100 <br /> LEGAL for new construction- Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing (Buildings 40-87) TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3003 W. Casino Rd <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE: 206-407-2614 OWNER EMAIL: permits@maCmiller.com <br /> CONTRACTOR NAME: MacDonald Miller <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> cls Seattle STATE WA ZIP 98106 <br /> CONTRACTOR PHONE: 206-407-2614 CONTRACTOR EMAIL: permits@macmiller.coM <br /> CONTRACTOR LICENSE#(REQUIRED): MACDOFS98ORU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: ❑OWNER COCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-407-2614 <br /> Joyce Copley CONTACT EMAIL: joyCe.copley@macnllller.corn <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Manufacturing Contract Price of Work: $ 7,500 <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other <br /> Building Type: ❑SFR-Detached DSFR-Attached ❑Duplex ❑Multi-Fa mily-#of Units: 1,4Commercial ❑Industrial <br /> Type of Project: New ❑Addition ®Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Bldg 40-87—we are replacing qty(48)existing drinking fountains with new ones in same locations and removing qty(1)completely <br /> Bldg 40-88.-we are replacing-147(4d)exmttrig-drinking-fountaia=wrtfrnew ones in same locations= <br /> Bldg.4.0-92--we are replacing existingYfrinking-fonntaii,s with new ones in same locations - <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 /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub tkg 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 /> 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 /> C3"0- CDp(e2i <br /> PE IT# <br /> 12/7/2016 __,DO <br /> � �2 <br /> Owner/Authorized Agent Signature Date (Revised 5/20/2016) <br />