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FIRE SISPRESSION PERMIT APPI. ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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)425-25'7-8810 I (E)PermitServices@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 12906 bothell everett way PARCEL#: <br /> env EVERETT STATE WA zip 98208 <br /> SUIT /UNIT#:1 FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> ANT/BUSINESS NAME (if non-residential):IN &OUT PHO <br /> CONTACT INFORMATION <br /> OWNER NAME:GRET SUN <br /> OWNER MAILING ADDRESS: STREET593O 1 ST AVE S <br /> cITY SEATTLE STATE WA ZIP 98108 <br /> OWNER PHONE:206 2295245 OWNER EMAIL:FRANKSOURISH@yahoo.com <br /> CONTRACTOR COMPANY NAME:great sun Corp <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):greatSC95l d1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREETSaa <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:2062295245 CONTRACTOR EMAIL:frankSOUrISh@yahoo.COm <br /> PRIMARY CONTACT: L_^!OWNER I✓7 CONTRACTOR C._I OTHER(Please Specify) • <br /> CONTACT NAME: CONTACT PHONE:2062295245 <br /> frank sourish CONTACT EmAiL:franksourish@yahoo.com <br /> yahoo.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK: $3800 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: 1 SFR L_lTownhouse [lDuplex LJADU HMulti-Family #Units: ❑Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK:new uI 300 fire system to hood <br /> TYPE OF INSTALLATION: 0✓New Suppression System L]Additions/Alterations to existing suppression system (.Other-Describe above <br /> TYPE OF SUPPRESSION: ❑Water Suppression System-#of Heads: _ [ Chemical Suppression System-#of Heads:12 <br /> NOTE:Application must be submitted with 2 sets of plans,talcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. <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 18.2C W and 296.200A WAC. <br /> City of Everett Official Use Only <br /> .1 7 7 <br /> PERMIT �^ 014 z V <br /> 04-23-2022 1J <br /> Owner/Authorized Ag nt Signature Date (Revised 4/21/2022) rl <br />