3003 W CASINO RD COL P5&6 BLDG 40-26 2025-10-22

0 BL._JING PERMIT APPLICATIL..i ECEO VE EVERETT CIpp EVERETT PERMIT SERVICESqF Z� 2SUBMITTAL INSTRUCTIONS: See a livcable submittal checklist for submittal re uiremed nu of ie Ired fo iew, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake D ' Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I((QY'ST�t�r�f6�a.�V/,trl�it�-T (Blue or Black Ink Only Please) PROJECT SITE INFORMATION,, Permit Service 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 cITY Everett STATE Wa Zip 98204 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack@boeing.com CONTRACTOR COMPANY NAME: Skanska USA Building Inc. WA STATE CONTRACTOR LICENSE #(REQUIRED): SKANSUB985RT CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 044389 CONTRACTOR ADDRESS: STREET221 Yale Ave N Ste 400 cITY Seattle STATE WA Zip 98109 CONTRACTOR PHONE: (206) 726-8000 CONTRACTOR EMAIL: Jason. Floyd@skanska.com PRIMARY CONTACT: ❑� 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: $130,000 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: The scope of work covered in the 737 N. Line 40-26 Engine Offload is to install concrete foundations and structure to support an overhead crane and hoist for offloading airplane engines. ►" :: �st_P'61—N UZ4 ACKNOWLEDGEMENT.' I have reviewed this application and confirm the information contained herein is true and correct W�akld n I Em" c �ply with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviahiling from the Building Official before being authorized under any circumstance. 1 am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Todd Haberlack, Digitally signed by Todd Haberlack, 48308 48308 bate: 2024.02.19 11:30:51-08'00' Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # c--� V6� -D (Revised 412112022)