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> ^ III PERMIT APPLICATI III <br /> /70---- <br /> - BUILDIA�/MECHANICAL/ PLUMBING /SIGN7�5PRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> s y 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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 332 SW Everett Mall Way, Everett, WA 98204 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Union Bank TENANT NAME(If Commercial):�'tz.c(, PeitAt..__, <br /> OWNER MAILING ADDRESS: STREET 332 SW Everett Mall Way <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Burns Fire Protection Systems <br /> CONTRACTOR ADDRESS: STREET P.O. Box 1110 <br /> cm, Granite Falls STATE WA ZIP 98252 <br /> CONTRACTOR PHONE: 360-691-2235 CONTRACTOR EMAIL: Dion@burnsfire.com <br /> CONTRACTOR LICENSE#(REQUIRED): 603-467-812 CITY OF EVERETT BUSINESS LICENSE#(REQ IRED): 54660 <br /> PRIMARY CONTACT: 0 OWNER _CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-345-9423 <br /> Dion Smith CONTACT EMAIL: Dion(p burnsf re.Com <br /> BUILDING PERMIT APPLICATI• <br /> Existing Use of Building: Contract Price o Work:$ 3,000 <br /> Proposed Use of Building: Heat Source: • -s U _ ' ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: 17Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair Err.l. ❑Sign gtSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Burns to Relocate 3 sprinkler heads on existing system and add 1 sprinkler head. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures _Fixtures <br /> NC—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 /> (Chemical or water ' / 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PER I # <br /> Q7L. 61141, 7 �0� -CO L\ <br /> Owner/Authorized Agent Signature l Date (Revised 9 3/2016) <br />