6201 ASSOCIATED BLVD COASTAL REALM GYMNASTICS 2022-03-23

FIRE SU&RESSION PERMIT APPLWTION 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 Blvd.PARCEL #: r-2801101 CITY STATE ZIP SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): CONTACT INFO ATION OWNER NAME: Underwood 4xr1land Evelreito UX, OWNER MAILING ADDRESS: STREET P6 d 3 CITY ! STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME: I WA STATE CONTRACTOR LICENSE #(REQUIRED): K ' `Z CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET 55 m CITY P)M+- W %0321 STATE ZIP CONTRACTOR PHONE: N. 2_ 71 Z CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ;K CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: e 04,w CONTACT PHONE: MO_ 1t_LOU CONTACT EMAIL: FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $ ASSOCIATED 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: ❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: + `, r-e� }4e.a�g ih -�Ir�. o-c�- �.x,. TYPE OF INSTALLATION: ❑New Suppression System Xdditions/Alterations to existing suppression system ❑Other - Describe above TYPE OF SUPPRESSION: Ywater Suppression System - # of Heads: 2 2. ❑Chemical Suppression System - # of Heads: NOTE: Application must be submitted with 2 sets of plans, calcs, cut sheets, etc. See submittal checklist at everettwa.gov/permits for further information. 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. 1 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 RCW and 296.200A WAC. City of Everett Official Use Only PERMIV��'�� Signaltwe Date (Revised 21812021)