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OLTPERMIT APPLICATI• <br /> BUILDII^MVIECHANICAL/ PLUMBING/SI I __-RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SER <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 /> _ _ :`.., _ PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTYTAX#: <br /> 3003 W Casino Rd. 28041000100200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ..,,. <' 4 _ ,CONTACTINFORMATIOW , . <br /> OWNER NAME: Boeing Co TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 M/S OH-13 <br /> CITY Seattle STATE WA ZIP 98124-2207 <br /> OWNER PHONE: 425-239-7983 OWNER EMAIL: david.d.tyler@boeing.com <br /> CONTRACTOR NAME: IMCO General Construction <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): IMCOG1215R1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 043657 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 1R1OTHER(Please Specify) Degi& Std, <br /> Bru tct5 <br /> CONTACT NAME: CONTACT PHONE: 425-239-7983 <br /> Dave Tyler CONTACT EMAIL: david.d.tyler@boeing.Com <br /> did „ , <br /> BUILDING„0 RMIT APPLICATION . r , . <br /> Existing Use of Building: N/A Contract Price of Work:$ ( V <br /> Proposed Use of Building: Storage of Glycol/Skydrol ,Heat Source: OGas DElectric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ffIndustrial <br /> Type of Project: l New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Building No. 45-62: Construct a 38' x 55' pre-engineered skydrol mule storage canopy structure with concrete slab, <br /> perimeter trench drain and grating. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ;°. „1MECHANICAL0PERMIT APP,UC.ATION ` ` ' s ,M1PLlUMBING PERMIT'APP.L7CAT'IO`N ,, ” y <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> 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 I 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 lam authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> / `/ r / 3 /� PERMIT �O 041,w <br /> Owner/Authorized A. t Signature to (_(�' <br /> I (Revised 10/12/2015) <br /> CI) <br />