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lial PERMIT APPLICATION <br /> BUILDING/MECHANICAL I PLUMBING/SIGN/SPRINKLER I DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E) gov I www everettwa gov/pennits <br /> (Blue or Black It*Only ) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1110 Poplar Street !PROPERTY TAX#:29051700212800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett School District TENANT BUSINESS NAME(Conunercial):1-14),i4i6rVenlentarY(C School <br /> OWNER MAILING ADDRESS: sTREEr4730 COLBY AVE ��``j,�A t.$4 to Ire, <br /> coy Everett STATE WA zip 98208 <br /> OWNER PHONE: (OWNER EMAIL: <br /> CONTRACTOR NAME:Crown Fire Protection, INC <br /> CONTRACTOR ADDRESS: STREET PO BOX 12113 <br /> cmr Mill Creek STATE WA zip 98082 <br /> CONTRACTOR PHONE:(425)481-7669 'CONTRACTOR MAR.:cristie@(xooinfp.com <br /> CONTRACTOR LICENSE#(REQUIRED):CROWNFP044LL f crnr OF EVERETT BUSINESS LICENSE i QUARED): 031397 <br /> PRIMARY CONTACT: °OWNER Q CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(425)481-7669 <br /> Cristie Ogland CONTACT EMAIL:cristie@crownfp.com <br /> BONDING INFORMATION <br /> Existing Use of Building:School Contract Price of Work:$2,500 <br /> Proposed Use of Building:School Heat Source: °Gas °Electric ❑Other <br /> BUILDING USE: ©SFR DTownhouse DDuplex DADU DMulti-Family-#Units: ®Commercial DAcCessory Structure <br /> Type of Project DNew ['Addition DRemodel DRepair DT.t. OSign ©Sprinkler ['Demolition ©Change of Use <br /> DESCRIPTION OF WORK: Add 2 Quick Response fire sprinkler heads and relocate 2 Quick Response fire sprinkler heads for a <br /> tenant improvement <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPUJCATION PLUMBING PERS( T APPLICATION <br /> Fixture List of Rxtwes list of Fixtures Fixture List of Fixtures Fixture List of Frxtures <br /> Count Com Count Count <br /> NC—Air Harding Units Gas Piping Backflow Prevent r(inside Bldg) Show r,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Dudtess Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) C,cxnmercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type 1) (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 ink Other. Medical Gas Mater Valves or Fixtures <br /> Gas Fireplacellnsert/Log)1 Roof Drains Water Heater <br /> SPRINKLER I SU '. SYSTEM Sewage Ejector or Sump Pump Other. <br /> Water Suppression System 4 ,No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed a - t_, 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 pennit only authorizes approved work and no deviations therefrom.Deviations must first be aut oraed in wrong from the <br /> Building offia aIbr#ae being authorized under any aranrhslance,tam the owner,ort am authorized by the owner of this property to perform the wearer which application is made, <br /> and 1 cote*with the State Contractors Law 18.2T RCW and 296.24944 WAC <br /> Cay of Everett Official Use Only <br /> PERMIT# <br /> 064 A 7/?3 / I8c9o7- D 10 <br /> (Revised 11I ) <br />