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FIRE SUORESSION PERMIT APPLIOTION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT <br />SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br />WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 10115 Evergreen Way PARCEL #: 0003327 <br />CITY Everett STATE WA zip 98204 <br />SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION: Entire Building <br />TENANT/BUSINESS NAME (if non-residential): Grocery Outlet Everett <br />CONTACT INFORMATION <br />OWNER NAME: <br />OWNER MAILING ADDRESS: STREET <br />CITY STATE ZIP <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR COMPANY NAME: Red Hawk Fire Protection <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): REDHAHF901 QP <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 053034 <br />CONTRACTOR ADDRESS: STIEET801 Valley Ave NW Suite D <br />c,n, Puyallup STATE VV,AI <br />A zip 98371 <br />CONTRACTOR PHONE:2553-840-9900 <br />1CONTRACTOR EMAIL: megank@redhawkfp.com <br />PRIMARY CONTACT: ❑ OWNER ACONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Megan Kn o be n <br />CONTACT PHONE:702-374-4100 <br />CONTACT EMAIL: megank@redhawkfp.com <br />FIRE SUPPRESSION PERMIT INFORMATION <br />VALUATION OF WORK: $18,291 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: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: Ncommercial ❑Accessory Structure <br />DESCRIPTION OF WORK: This project is a tenant improvement. Red Hawk Fire Protection is adding and/or <br />relocating sprinklers to accommodate new walls and ceilings. <br />TYPE OF INSTALLATION: ❑New Suppression System ❑✓ Additions/Alterations to existing suppression system ❑Other - Describe above <br />TYPE OF SUPPRESSION: ❑Water Suppression System - # of Heads:38 ❑Chemical Suppression System - # of Heads: <br />NOTE: Application must be submitted with 2 sets of plans, calcs, cut sheets, etc. See submittal checklist at everettwa.gov/permits for further information. <br />ACKNOWLEDGEMENT: 1 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 owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />L IV <br />Megan <br />Owner/Authorized Agent Signature <br />11 /18/2021 <br />Date <br />City of Everett Official Use Only <br />PERMIT # I` 2 I I I D ©5 <br />(Revised 21812021) <br />1�� <br />