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Nom <br /> FIRE SWRESSION PERMIT APP4ATION <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 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET`1 TT 00 Evugseey' A PARCEL#: 00 130CCu01Z0'I <br /> CITY Everett STATE WA zip 98201 <br /> SUITE/UNIT#: N/A FLOOR#: N/A ADDITIONAL LOCATION INFORMATION:N/A <br /> TENANT/BUSINESS NAME(if non-residential):Central Body Works <br /> CONTACT INFORMATION <br /> OWNER NAME:Mike Hagan <br /> OWNER MAILING ADDRESS: STREET 131 0 Pacific Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425.259.5101 OWNER EMAIL:mhagarl@centralbodyworkS.com <br /> CONTRACTOR COMPANY NAME:Alexander Gow Fire Equipment Co. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):ALEXAGF835QB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050029 <br /> CONTRACTOR ADDRESS: STREET1436 NW 53rd St <br /> CI,Seattle STATE WA ZIP 98107 <br /> CONTRACTOR PHONE:206.632.2810 CONTRACTOR EMAIL:cbingham@gowfire.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206.632.2810 <br /> Chris Bingham CONTACT EMAIL:cbingham@gowfire.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK: $25,897.00 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 of suppression system into paint booth. <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: ✓❑Chemical Suppression System-#of Heads:13 <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 /> PERMIT#% <br /> ? - C <br /> Owner/Authorized Agent Si re ,o <br /> Date (Revised 4/21/2022) <br />