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MEI <br /> PERMIT APPLICATIO <br /> LI <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> EVERETTCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:6727 Evergreen Way, Everett, WA 98023 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT BUSINESS NAME(Commercial): Big Lots <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Columbia Fire <br /> CONTRACTOR ADDRESS: STREET 1 1 1 S Findlay St <br /> CITY Seattle STATE WA zip 98108 <br /> CONTRACTOR PHONE:2062328569 CONTRACTOR EMAIL:ligaoli©columbiafire.net <br /> CONTRACTOR LICENSE#(REQUIRED):COLUMF1952MG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 048229 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2062328569 (� <br /> Dali Yu CONTACT EMAIL:dali@columbiafire.net ,(NpYceCUCclr,rn 1([.��i„.,nn� <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial Contract Price of Work:$59,045.00 <br /> Proposed Use of Building:Commercial Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑✓Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: To add 389 upright and pendent sprinkler heads in total to the existing wet system. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow 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 Drinking Fountain Sink-Utility, laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) 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/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPREQe")_N SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System �. No.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 Loca�l lI.w.� n ing orae rmit e• authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official efO-F- reirgautho�ed under any circumstance.I a e owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and/com e State Copt actors Law 18.27 RCW and 296.200A 0'C. <br /> City of Everett Official Use Only <br /> / )I <br /> PER # <br /> 1,905-- En6 <br /> Ow r/Authoriz ' uatefe Date // <br /> �__�- (Revised 10/10/2018) <br />