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fit <br /> FIRE SPRESSION PERMIT APPLI TION <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)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) .:1= -PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1122 80TH ST SW PARCEL#: 28041200304600 <br /> CITY EVERETT STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):JAMCO <br /> ; : V`%j/i CONTACT INFORMATION, <br /> OWNER NAME:Jamco America Inc. <br /> OWNER MAILING ADDRESS: STREET 1018 80th Street SW <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE:(425)791-3140 OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Wolfe Fire Protection <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WOLFEFP906DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050129 <br /> CONTRACTOR ADDRESS: STREET832 80th Street SW <br /> CITY Everett STATE WA ZIP 98203 <br /> CONTRACTOR PHONE:(360)794-8321 EXT 206 CONTRACTOR EMAIL:lodij@wolfefp.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(360)794-8621 ext 313 <br /> Chuck Bamford CONTACT EMAIL:chuckb@wolfefp.com <br /> File SUPPRESrSION""PERMIT'I ,I f MAT : <br /> VALUATION OF WORK:$11,500 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: Install 19 sprinkler heads under Mezz. <br /> TYPE OF INSTALLATION: El New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above <br /> TYPE OF SUPPRESSION: Water Suppression System-#of Heads:19 ❑Chemical Suppression System-#of Heads: <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 1 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 /> l PERMIT# City of Everett Official Use Only <br /> l( �..-� K �0 S 0 O� <br /> Ownerf/�• orized Age ignatut'e Date (Revised 2/8/2021) <br />