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NMI <br /> PERMIT APPLICATI(`"! <br /> BUILD ,/ MECHANICAL / PLUMBING / SIGN,SPRINKLER/ DEMOLITION <br /> EVERETT CITY 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:607 Riverside Road PROPERTY TAX#:29050800402600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Glacier Peak Ind Owner LLC TENANT BUSINESS NAME(Commercial): Compass Canteen <br /> OWNER MAILING ADDRESS: STREET 1821 Dock St suite 100 <br /> cITY Tacoma STATE wa ZIP 98402-3201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Cosco Fire Protection <br /> CONTRACTOR ADDRESS: STREET 4308 S 131st pl <br /> CITY Tukwila STATE WA zip 98168 <br /> CONTRACTOR PHONE:2068511900 CONTRACTOR EMAIL:nrodewald@coscofire.com __ <br /> CONTRACTOR LICENSE#(REQUIRED):coscofpl 10nm CITY OF EVERETT BUSINESS LICENSE#(REQUI ED):2 <<D`� <br /> PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-851-1900 <br /> Nikki Rodewald CONTACT EMAIL:nrodewald@coscfire.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:commercial Contract Price of Work: $4383.20 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <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: Add 8 new dry pendent sprinklers to provide protection to new coolers <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 /> 'NC-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 Ventilation 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/InserULog Roof Drains Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System 8 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 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 /> 4 PER IT 200( M^Xv)C4 <br /> (�I ( r - 3-d 0 —fv <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />