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• PERMIT APPLICATION' <br /> BUILDING / 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:2131 Lake Heights Drive, Everett, WA 98208 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): Bethany @ Silver Crest <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Sanderson Fire Protection <br /> CONTRACTOR ADDRESS: STREET 1 101 SE 3rd Ave <br /> CITY Portland STATE OR ZIP 97214 <br /> CONTRACTOR PHONE:503-889-3110 CONTRACTOR EMAIL:geoff@sandersonfire.com <br /> CONTRACTOR LICENSE#(REQUIRED):SANDEPF845DN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 24072 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:503-889-3110 x119 <br /> Geoff Spahr CONTACT EMAIL:geoff@sandersonfire.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$1800.00 <br /> Proposed Use of Building:ALF-Kitchen Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑✓New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign LiSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Install Ansul R-102 UL300 Kitchen fire system into Type 1 exhaust hood W�© <br /> ASSOCIATED BUILDING PERMIT#(if applicable):81.b0 av'bo3 <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/ SUPPRESSION SY Sewage Ejector or Sump Pump Other: <br /> Water Suppression System of Heads <br /> Chemical Suppression System ea system No.of Heads 7 nozzles <br /> ACKNOWLEDGEMENT:I have rev wed this application and confirm the info on contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. ranting of a permit onl es 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 /> y:21� "�„(/" �� PERM <br /> 12/10/2020 `ti`�—LJ Zr 0 I <br /> �- <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> Vt <br />