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9028 EVERGREEN WAY JOHN FLUKE MFG 2021-11-02
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9028 EVERGREEN WAY JOHN FLUKE MFG 2021-11-02
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Last modified
11/2/2021 2:44:14 PM
Creation date
11/2/2021 2:43:38 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
9028
Tenant Name
JOHN FLUKE MFG
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PERMIT APPLICATIO <br /> BUILDIN.MECHANICAL / PLUMBING / SIGNWPRINKLER/ 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 (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:9028 Evergreen Way PROPERTY TAX#: 00392300000500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Fluke Electronics Corp. TENANT BUSINESS NAME(Commercial): Fluke Electronics Corp. <br /> OWNER MAILING ADDRESS: STREET PO Box 9090 MS 233C <br /> ciT r Everett STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Viking Automatic Sprinkler Co. <br /> CONTRACTOR ADDRESS: STREET 3434 1st Ave S <br /> aTv Seattle STATE WA zip 98134 <br /> CONTRACTOR PHONE:(206)622-4656 CONTRACTOR EMAIL:donald.koval@vikingsprinkler.net <br /> CONTRACTOR LICENSE#(REQUIRED):VIKINAS373NT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024704 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(206)622-4656 <br /> Donald Koval CONTACT EMAIL:donald.koval@vikingsprinkler.net <br /> BUILDING INFORMATION <br /> Existing Use of Building:343 Electrical Machinery, Equipment&Supplies Contract Price of Work: $40,000.00 <br /> Proposed Use of Building:343 Electrical Machinery,Equipment&Supplies Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: DSFR ❑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: Extend existing system to provide protection to new single and double rownracks, 1 <br /> ?it.I[IA-- <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 /> 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 SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System 2U 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 /> PERMIT# <br /> v `er <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />
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