305 SE EVERETT MALL WAY BANK OF AMERICA 2022-03-10

FIRE SIOPRESSION PERMIT APPLOATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 305 SE Everett Mall Way PARCEL #: 280518000304300 cln Everett STATE WA zip 98208 SUITE/UNIT #: 31 FLOOR #: 1 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): Banc( Of America CONTACT INFORMATION OWNER NAME: ALL OWNER MAILING ADDRESS: STREET 800 5th Avenue ciTY Seattle STATE WA zip 98104 OWNER PHONE:206.375.4788 OWNER EMAIL: jim.fosterpanill.com CONTRACTOR COMPANY NAME: Crown Fire Protection WA STATE CONTRACTOR LICENSE #(REQUIRED): CROWN FP044LL CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): C)317 CONTRACTOR ADDRESS: STREET PO BOX 12113 ciTv Mill Creek STATE WA zip 98082 CONTRACTOR PHONE: 425.481 .7669 CONTRACTOR EMAIL: cristie@crownfp.com PRIMARY CONTACT: I _l OWNER L7 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Cri sti e O land CONTACT PHONE: 425.481.7669 CONTACT EMAIL: cristie@crownfp.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $ 6500 1ASSOCIATED PERMIT# (if applicable): (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: OCommercial ❑Accessory Structure DESCRIPTION OF WORK: Add 49 fire sprinkler heads for a tenant improvement of an existing system TYPE OF INSTALLATION: FINew Suppression System ❑✓ Additions/Alterations to existing suppression system ❑Other - Describe above TYPE OF SUPPRESSION: ❑✓ Water Suppression System - # of Heads: 49 ❑Chemical Suppression System - # of Heads: NOTE: Application must be submitted with 2 sets of plans, talcs, cut sheets, etc. See submittal checklist at everettwa.gov/permits for further information. 77 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 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 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, and I comply with the State Contractors Law 18.27 ROW and 296.200A WAC. City of Everett Official Use Only V 5/18/21 PERMIT # � Z l 0 O 0 ed Agent Signatu Date (Revised 21812021) �lZ-