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PERMIT APPLICATION <br /> '11141P•41NV/:—:‘ <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 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: 2300 Merrill Creek Pkwy.-Everett, WA 98201 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 NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CIN STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Burns Fire Protection Systems, Inc. <br /> CONTRACTOR ADDRESS: STREET PO Box 1110 <br /> CITY Granite Falls STATE WA ZIP 98252 <br /> CONTRACTOR PHONE: 425-905-5780 CONTRACTOR EMAIL: keith@burnsfire.com • <br /> CONTRACTOR LICENSE#(REQUIRED):'sitoS?o sp ` ( `w \ CITY OF EVERETT BUSINESS LICENSE#(REQUI-'D): <br /> PRIMARY CONTACT: 0 OWNER ($CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NCONTACT PHONE: <br /> AIVE: r�( CONTACT EMAIL: <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ D 00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel CI Repair CIT.!. ❑Sign ❑Sprinkler ID Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Burns to modify existing wet sprinker system and add heads as needed to meet new room and wall layout. <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 _Adds _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of 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 /> xhaust Fan Sink(Service/Bar/Mop/etc.) Other: . <br /> SPRI KLER/SUPPR SI N SYSTEM <br /> V,4 , ical or Water 9 No.of Heads <br /> ACKNOWLE' EMENT:I have review this ap ication and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> • en •eral,state,and local law.The anti 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 un er 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, <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 IMS `\ <br /> % tature Da (Revised 9/23/2016) <br />