3003 W CASINO RD BLDG 40-23 2025-01-22

BRDING PERMIT APPLICATINk 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 1 (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 v 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 CITY Everett STATE Wa ZIP 98204 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com CONTRACTOR COMPANY NAME: General Construction Company WA STATE CONTRACTOR LICENSE #(REQUI ED . CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 40599 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: 253-943-4035 CONTRACTOR EMAIL: GCC-Everett-Boeing@kiewit.com PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Todd Haberlack CONTACT PHONE: 425-260-2668 CONTACT EMAIL: todd.j.haberlack@boeing.COm BUILDING INFORMATION VALUATION OF WORK: $ 5,800,000 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: ❑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 El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: 40-23.1 - 5 ft thick reinforced concrete pour for the 40-23 HBL position 5, 6 and 7 foundations. ACKNOWLEDGEMENT. 1 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. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and I com ith the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only a PERT.,,,,, /� 2� V� Owner/Authorized Agent Signature Date (Revised 412112022)