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PERMIT APPLICATION <br /> BUILDING t .,IECHANICAL/ PLUMBING/ SIGN /,z,rRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX425-257-8857 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, Bldg.40-22, Everett,WA 98204 1 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: The Boeing Company TENANT BUSINESS NAME(Commercial): Boeing <br /> OWNER MAILING ADDRESS: STREET737 Logan Ave.N. <br /> ciTr Renton STATE WA ZIP 98057 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Hermanson Company <br /> CONTRACTOR ADDRESS: STREET 1221 2nd Ave. N. <br /> ,[Ty Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):HERMACLO05BJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(206)305-2938 <br /> Lyndsi Foster CONTACT EMAIL:Ifoster@hermanson.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial Contract Price of Work:$138,500.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR []Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ZCommercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair OT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remove and replace Air Handling Unit mounted on slab on grade. Connect gas piping to unit. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture Fixture <br /> Count Count List of Fixtures Count List of Fixtures Count <br /> List of Fixtures <br /> 2 A/C—Air Handling Units 1 Gas Piping Back-flow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration l Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type 1) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type 11) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/]nsert/Log I Roof Drains Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System INo.of Heads <br /> Chemical Suppression System 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 l omply with the State onfractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> _ PERMIT# <br /> - - �2 - D <br /> amzo2o <br /> Qw. r/Aut z d Ag nt Signature Date (Revised 10/10/2018) <br /> VV/ i <br />