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• <br /> PERMIT APPLICATION <br /> 110 <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:14011 AIRPORT ROAD, SUITE 102, EVERETT, WA PROPERTY TAX#: <br /> ,4 <br /> LEGAL for new construction: Short'Plati'subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: PATTISON GENERAL CONTRACTOR TENANT BUSINESS NAME(Commercial): DUNN LUMBER <br /> OWNER MAILING ADDRESS: STREET 15223 NE 90TH STREET, SUITE 140 <br /> cr( REDMOND STATE WA ZIP 98052 <br /> OWNER PHONE: 206-423-3396 OWNER EMAIL:DAN@PATTISONGC.COM <br /> CONTRACTOR NAME:FIRE SPRINKLERS INCORPORATED <br /> CONTRACTOR ADDRESS: STREET 1524 45TH ST E-SUITE 102 <br /> cIn, SUMNER STATE WA ZIP 98390 <br /> CONTRACTOR PHONE:253-826-0099 CONTRACTOR EMAIL:WAYNEB@FIRESPRINKLERSINC.COM <br /> CONTRACTOR LICENSE#(REQUIRED):FIRESI*988RJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 047539 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-826-0099 ext. 249 <br /> WAYNE BELLIN CONTACT EMAIL:WAYNEB@FIRESPRINKLERSINC.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:OFFICE SPACE Contract Price of Work: $3778 <br /> Proposed Use of Building:OFFICE SPACE 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.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: ADD AND RELOCATED SPRINKLERS AS REQUIRED FOR NEW WALLS AND CEILINGS. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): t i -021 <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 Ventilation 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 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.- g 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 tate Cpntractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT <br /> 2\, 02— D0� <br /> Owne >• Agent Sign• Ito (Revised 10/10/2018) <br />