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PERMIT APPLICATIONS <br /> BUILDING ECHANICAL / PLUMBING / SIGN /SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3711 Smith Ave PROPERTY TAX#: 00576001900001 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Gospel Mission TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5118 S 2nd Ave <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Wolfe Fire Protection <br /> CONTRACTOR ADDRESS: STREET 17321 Tye St SE Suite B <br /> CITY Monroe STATE WA ZIP 98272 <br /> CONTRACTOR PHONE: (360) 794-7926 ext 206 CONTRACTOR EMAIL: jodij@wolfefp . com <br /> CONTRACTOR LICENSE#(REQUIRED):WOLFEFP 9 0 6DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050129 <br /> PRIMARY CONTACT: ❑ OWNER Er CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Jodi Joanis CONTACT PHONE: (360) 794-7926 ext 206 <br /> CONTACT EMAIL: jodij@wolfefp . corn <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 9, 950 . 00 <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ®Sprinkler ❑Demolition DChange of Use <br /> DESCRIPTION OF WORK: <br /> Relocating & deleting pendent fire sprinklers to accommodate the new floor plan <br /> designed & installed to 2013 NFPA 13 & the city of Everett guidelines . <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> _Forced Air Systems _ Unit Heater Bathtub Urinal <br /> _Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> ,Gas Range Ducting Dishwasher Roof Drains <br /> _Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> 40 Number of Heads <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 owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> OwiglAuthor¢edAgent Signature Date ' (Revised 5/20/2016) <br />