Laserfiche WebLink
ERR FIRE SOPRESSION PERMIT APPLLATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off comp1eted application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION:(P)425.257.8810 I(E) .gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: sTREEr 6'200 23rd Drive W PARCEL#: 28040200301600 <br /> cm Everett STATE WA zm 98203 <br /> SUITE/UNIT#: 101 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: <br /> TENANTBUSINESS NAME(if non-residential):Seaway Industrial <br /> CONTACT INFORMATION <br /> OWNER NAME:Seaway Lot4A LLC <br /> OWNER MAILING ADDRESS: si trer4932 NE 97th Street <br /> cm Seattle STATE WA zjp 98115 <br /> OWNER PHONE:206_310.5239 'OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Crown Fire Protection, Inc <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CROWNFP044LL ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 031397 <br /> CONTRACTOR ADDRESS: srneer PO BOX 12113 <br /> • <br /> cm Mill Creek STATE WA zip 98082 <br /> CONTRACTOR PHONE:425.481_7669 CONTRACTOR EMAIL:Cristie@cxownfp.com <br /> PRIMARY CONTACT: ❑OWNER II CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.361.6565 <br /> Cristia Ogland CONTACT EMAIL:cristie@crownfp_com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK:$3000 ASSOCIATED PERMIT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor.materials,and equipment needed to complete the work,whether actually paid or not) <br /> BUILDING TYPE: QSFR DTownhouse ❑Duplex DADU ❑Multi-Family-#Units: ['Commercial ['Accessory Structure <br /> DESCRIPTION OF WORK: <br /> Add 21 fire sprinkler heads for a tenant improvement <br /> TYPE OF INSTALLATION: DNew Suppression System ClAdditions/Alterations to existing suppression system []Other-Desaibe above <br /> TYPE OF SUPPRESSION: I7JWater Suppression System-#of Heads:21 OChemical Suppression System-#of Heads: <br /> NOTE:Application must be submitted with 2 sets of plans,oaks,cut sheets,etc See sub"r till checklist at everettwa.gov/permits for further information. <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 ownet or 1 am authorized by the owner oflhis property to perform the work for which application is made, <br /> and I comply with the State Contactors Law 18_27 RCW and 296.200A WAC <br /> • <br /> Ciyof Everett Official Use Only <br /> —� 0}011A47( 7IZh /Z4 PERMIT# :� <br /> A Agent ' Date (Revised 2/8/2021) <br /> /Z <br />