3003 W CASINO RD BLDG 40-92 2024-06-12

itILDING PERMIT APPLICION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL#: 28041000100200 cITY Everett STATE Wa ZIP 98204 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Boeing LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Boeing CO OWNER MAILING ADDRESS: STREET 3003 West Casino Rd cln, Everett STATE Wa ZIP 98204 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com CONTRACTOR COMPANY NAME:TX SUPNiSt'c5V.X WA STATE CONTRACTOR LICENSE#(REQUIRED):aiN d 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): T)a L c- 38c' CONTRACTOR ADDRESS: STREET CITY STATE D j(`VfO CONTRACTOR PHONE:TBD CONTRACTOR EMAIL:TBD1.4 PRIMARY CONTACT: El OWNER ElCONTRACTOR ❑OTHER(Please Specify) JUL 2 G 2023 CONTACT NAME: CONTACT PHONE:425-260-2668 CITY OF EVERETT Todd Haberlack CONTACT EMAIL:todd.j.haberlack@boeing.caermit Services BUILDING INFORMATION VALUATION OF WORK: $1,000,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Manufacturing PROPOSED USE OF BUILDING:Manufacturing HEAT SOURCE: El Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: 40-92 BLDG. 1ST FLOOR - ELECTRICAL AND MECHANICAL WORK TO SUPPORT THE UPGRADES TO THE SAFETY PROMOTION CENTER. INCLUDING INSTALLATION OF NEW WALLS FOR ELECTRICAL AND SERVER . NO OTHER BUILDING(S) IMPACTED. 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 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 Building Official before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ti 741 Z� PERMIT# � Owner/Authorized Age Si ture /Date (Revised 4/21/2022 9 )