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OLTPERMIT APPLICATIOr <br /> BUILDING / MECHANICAL / PLUMBING /SIGN I 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 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 West Casino Road, Everett, WA PROPERTY TAX#: <br /> LEGAL for new construction: 3l,uit Bldg 4 5-0 8 Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing - Ray Rimorin TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3003 West Casino Road <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE: 425-330-1807 OWNER EMAIL: raymundo.a.rimorin@hoeing.com <br /> CONTRACTOR NAME: IMCO General Construction, Inc <br /> CONTRACTOR ADDRESS: STREET 2116 Buchanan Loop <br /> crry Ferndale STATE WA ziP 98248 <br /> CONTRACTOR PHONE: 360-671-3936 CONTRACTOR EMAIL: clee@imcoconstruction.com <br /> CONTRACTOR LICENSE#(REQUIRED): IMCOGI*215R1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 043657 <br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: Q C6(c) <br /> Oire.1/4_( CONTACT EMAIL: <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Waste Water Treatment Processing Contract Price of Work:$ 2, 242, 284 <br /> Proposed Use of Building: Waste Water Treatment Processing Heat Source: ❑Gas ❑Electric ®Other Process Water Treat <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ®Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Modify the existing 45-08 buildings industrial waste water piping and <br /> equipment including the addition of new piping and equipment to a proposed canopy storage area <br /> adjacent to building 45-08 . Specific piping and equipment: Small bore chemical piping used to <br /> adjust pH of wastewater; modification to HVAC system; addition of organics treatment equipment . <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1804-041 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New X Addn X Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of #of <br /> List of Fixtures #of List of Fixtures #of List of Fixtures 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 NA Other: see Clothes Washer Medical Gas <br /> Range HoodEngineering Water Heater Other: <br /> Exhaust Fan _Report Summary 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 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 /> PERMIT# ^/7 <br /> Corey Lee, Project Engineer 1 niVi45 OZ? <br /> Owner/Authorized Agent Signature Date (Revised 9/23/20161_ `7 <br />