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FIRE S.PRESSION PERMIT APP•ATION <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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1525 75th St SW PARCEL#: 28041100100500 <br /> CITY Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: 200 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):COMCAST TI <br /> CONTACT INFORMATION <br /> OWNER NAME:Johnson Properties I LLC <br /> OWNER MAILING ADDRESS: STREET PO Box 5253 <br /> CITY STATE STATE WA ZIP 98206 <br /> OWNER PHONE:206) 234-4217 OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Advanced Fire Protection <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):ADVANFP199B6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): k 1 <br /> CONTRACTOR ADDRESS: STREET PO Box 1543 <br /> CITY Woodinville STATE WA ZIP 98072 <br /> CONTRACTOR PHONE:425)483-5657 ext. 117 CONTRACTOR EMAIL:jmilian@advfire.net <br /> PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425)483-5657 ext. 117 <br /> Jonathan Milian CONTACT EMAIL:jmilian@advfire.net <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK: $17,000 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: ❑✓Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: Replacing, and relocating fire sprinkler pendent heads in the training rooms 105, and <br /> 128 per NFPA 13 light hazard. <br /> All sprinkler heads to be supplied from existing 1" outlets in existing line piping. <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:35 ❑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.'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 /> 4 /LC1-n PERMIT# \<1(�\O _ v <br /> 6-23-21 <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />