11108 EVERGREEN WAY ALEM MARKET 2022-11-17

FIRE 'PRESSION PERMIT APFCATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 1 (E) PermitServices@everettwa.gov 1 (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET/1 108 EVERGREEN WAY PARCEL#: criv EVERETT WA STATE ZIP SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential):ALAN MARKET CONTACT INFORMATION OWNER NAME: OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:GREAT SUN CO WA STATE CONTRACTOR LICENSE#(REQUIRED):GREATSC951 D1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): boo-7(o CONTRACTOR ADDRESS: STREET5930 1 ST AVE S CITY SEATTLE STATE VV,A, A ZIP 98108 CONTRACTOR PHONE:2062295245 CONTRACTOR EMAIL:FRANKSOURISH@YAHOO.COM PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: FRANK CONTACT PHONE:2062295245 CONTACT EMAIL:FRANKSOURISH@YAHOO.COM FIRE SUPPRESSION PERMIT INFORMATION, VALUATION OF WORK: $2500 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse Duplex ❑ADU ❑Multi Family-#Units: (]Commercial ❑Accessory Structure DESCRIPTION OF WORK:NEW UL 300 FIRE SYSTEM TO HOOD TYPE OF INSTALLATION: E1New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ❑Water Suppression System-#of Heads:5 ❑Chemical Suppression System-#of Heads: NOTE:Application must be submitted with 2 sets of plans,talcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. 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 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 Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform tifte work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Oo 22 2022 PERMIT# � ZZC _ 005 Owner/Authorized Agent Signature Date (Revised 4/21/2022)