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0 PERMIT APPLICATION • <br />EVERETT <br />WASHINGTON <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 10105 1 st Dr SE <br />PROPERTY TAX #: 00396900000600 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Anvar Erkabaev TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET830 93rd St SE <br />cny Everett STATE WA zip 98208-3748 <br />OWNER PHONE: 425-232-2597 <br />OWNER EMAIL: anvar@aeconstructionpro.com <br />CONTRACTOR NAME: Nor -Tech Fire Protection, Inc. <br />CONTRACTOR ADDRESS: STREET20030 NE Novelty Hill Rd., Box B <br />ciTv Redmond STATE WA zip 98053 <br />CONTRACTOR PHONE: 425-898-9111 <br />CONTRACTOR EMAIL: dean@nortechfire.com <br />CONTRACTOR LICENSE #(REQUIRED): NORTEFP051 P6 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 043556 <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Dean Olsen <br />CONTACT PHONE: 425-898-9111 <br />CONTACT EMAIL: dean@nortechftre.com <br />BUILDING INFORMATION <br />Existing Use of Building: <br />lContract Price of Work: $ 8,300.00 <br />Proposed Use of Building: Single Family <br />Heat Source: ❑Gas ❑Electric ❑Other <br />BUILDING USE: OSFR ❑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: Install NFPA 13D automatic fire sprinkler system in new SFR construction per plan. <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C —Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep, floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />lFloor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />IHose Bibb <br />Urinal <br />Exhaust Hood (Type II) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />IMedical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />I <br />Roof Drains <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />1 26 <br />1 No. of Heads <br />Chemical Suppression System <br />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 wit State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERM T� <br />n 2-6Z DUI <br />Owner/Authorized Agent Signature I Date I (Revised 1011012018) <br />