6438 CADY RD 2022-03-23 - Laserfiche WebLink

FIRE SUPPRESSION PERMIT APPOCATION EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, 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 I or'Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET �y PARCEL #: C, CITY STATE ZIP!19263 SUITE/UNIT #: FLOOR M ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): ` — d Wk V CONTACT INFORMATION OWNER NAME: � OQQ OWNER MAILING ADDRESS: STREET ,q.5 CITY STATE WA- ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME: AA X1 rC ro S WA STATE CONTRACTOR LICENSE #(REQUIRED): 1 CITY OF EVERETT BUSINESS LICENSE #(REQUIR D): CONTRACTOR ADDRESS: STREET CITY STATE ZIP 3 CONTRACTOR PHONE: ( CONTRACTOR EMAIL: 6V mn. MOP M c rA PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: e r S_9o26 CONTACT EMAIL: by ran - va ht fj r_ S FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $ (S p (i 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: FR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: A614 15/ KCW s(,91reA(eY keads fo fk� new �ldi � IQN . �(�.li� readC4tLr 'Rjrf� has v TYPE OF INSTALLATION: ❑New Suppression System dditions/Alterations to existing suppression system ❑Other- Describe above TYPE OF SUPPRESSION: ater Suppression System - # of Heads: ❑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. 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. / 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. SAL City of Everett Official Use Only PERMIT # ,— V f f w (Revised 21812021) !Z-