2818 HOYT AVE FRATERNAL ORDER OF EAGLES 2022-05-23

• S MIEN FIRE SUPPRESSION PERMIT APPLICATION 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 2818&2820 HOYT AVE PARCEL#: cm EVERETT STATE WA ZIP 982010 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):EVERETT EAGLES CONTACT INFORMATION' OWNER NAME:EVERETT EAGLES OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:PYE BARKER FIRE WA STATE CONTRACTOR LICENSE#(REQUIRED):PYEBAFS8O7DO CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Weak CONTRACTOR ADDRESS: sTREET735 E FAIRHAVEN AVE cln, BURLINGTON STATE WA ZIP 98233 CONTRACTOR PHONE:360-755-5444 CONTRACTOR EMAIL:taylorn@pyebarkerfire.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-755-5444 Nisha Taylor CONTACT EMAIL:TAYLORN@PYEBARKERFIRE.COM FIRE.SUPPRESSION PERMIT INFORMATION M -7 VALUATION OF WORK:$5500.00 ASSOCIATED PERMIT#(if applicable): ?j� 0 + — 04 2 (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:INSTALL NEW ANSUL R102 PREENGINEERED FIRE SUPPRESSION SYSTEM TYPE OF INSTALLATION: ❑✓New Suppression System ❑Additions/Alterations to existing suppression system ❑other-Describe above TYPE OF SUPPRESSION: ❑Water Suppression System-#of Heads: ❑✓Chemical Suppression System-#of Heads:9 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.I 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 1-7\. q )21 PERMIT# k 7 l 01 _ 01 0 wne thorized Agent Signature Date (Revised 2/8/2021) yz