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FIRETJPPRESSION PERMIT APACATION <br />EVERETT CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps(c-).everettwa.aov I (W) everettwa nnvinprmitc <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 8417 Evergreen Way: Suite #110 PARCEL #: <br />Everett <br />CITY STATE WA ZIP 98208 <br />SUITE/UNIT #: 110 FLOOR #: 1 ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): WINGSTOP RESTAURANT <br />CONTACT INFORMATION <br />, <br />OWNER NAME: (✓ V ' -rile_ I10 if--k .t L_L L, <br />OWNER MAILING ADDRESS: STREET <br />CITY STATE ZIP <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR COMPANY NAME: SANDERSON FIRE PROTECTION <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): SANDEFP845DN <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET 1 101 SE 3RD AVE <br />CITY PORTLAND STATE OR ZIP 97214 <br />CONTRACTOR PHONE: 503-889-3110 <br />CONTRACTOR EMAIL: GEOFF@SANDERSONFIRE.COM <br />PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />G E O F F S PA H <br />CONTACT PHONE: 503.889.3110 <br />CONTACT EMAIL: GEOFF@SANDERSONFIRE.COM <br />FIRE SUPPRESSION PERMIT INFORMATION <br />VALUATION OF WORK: $ 1350.00 ASSOCIATED PERMIT# (if applicable): Vk 7 � 0 a - 7, > <br />(Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) <br />BUILDING TYPE: ❑SFR ❑Townhouse [-]Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure <br />DESCRIPTION OF WORK: <br />HOOK UP ANSUL R-102 UL300 KITCHEN FIRE SUPPRESSION SYSTEM IN TYPE 1 <br />EXHAUST HOOD. COMES PRE PIPED FROM HOOD MFG. <br />TYPE OF INSTALLATION: ❑✓ New Suppression System ❑Additions/Alterations to existing suppression system ❑Other - Describe above <br />TYPE OF SUPPRESSION: []Water Suppression System - # of Heads: ❑✓ Chemical Suppression System - # of Heads: 13 NOZZLES <br />NOTE: Application must be submitted with 2 sets of plans, talcs, cut sheets, etc. See submittal checklist at everettwa.gov/permits for further information. <br />r+�­v LciJ6mvir_ v I: i have reviewea tors appncatlon 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 />re <br />City of Everett Official Use Only <br />04/01/2021 PERMIT # <br />)ate (Revised 21812021) <br />