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1� <br /> INN <br /> FIRE SOPRESSION PERMIT APPLSATION <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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2202 100th St. SW PARCEL#: 00538200004300,00538200004400&500 <br /> cln. Everett STATE WA ZIP 98204 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION:New office buildout <br /> TENANT/BUSINESS NAME(if non-residential):Toolless Plastics <br /> CONTACT INFORMATION <br /> OWNER NAME: <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:SteWart Fire Protection, LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):STEWAFP893PR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 051508 <br /> CONTRACTOR ADDRESS: 5TREET1404 171st Ave. SE Cm,Snohomish STATE V V,^/A ZIP 98290 <br /> CONTRACTOR PHONE:425 367-2957 CONTRACTOR EMAIL:stewartfire@live.com <br /> PRIMARY CONTACT: ❑OWNER C✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425 367-2957 <br /> Jim Stewart CONTACT EMAIL:stewartfire@live.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK:$7,000.00 ASSOCIATED PERMIT#(if applicable):B2202-012 <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 new sprinkler protection into new office buildout inside an exist. warehouse. <br /> Upgrade existing sprinkler system over area of new racking in warehouse area. <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:83 ❑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 /> 4-28-22 PERMIT# <br /> ,)( <br /> Owner/ thorized It Signature Date (Revised 4/21/2022) <br /> / <br />