2825 COLBY AVE HERITAGE BANK 2023-04-06

• • FIRE SUPPRESSION PERMIT APPLICATION 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 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2825 Colby Ave PARCEL#:'O 9765- 2'f 41 66.7PO O CITY Everett STATE Washington ZIP 98201 SUITE/UNIT#: 100 FLOOR#: 1St ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): Heritage Bank CONTACT INFORMATION OWNER NAME: Heritage Bank OWNER MAILING ADDRESS: sTREET3615 Pacific Ave CITY Tacoma STATE Washington ZIP 98418 OWNER PHONE:360-570-9856 OWNER EMAIL: CONTRACTOR COMPANY NAME:American Sprinkler Corporation WA STATE CONTRACTOR LICENSE#(REQUIRED):AMERISC087NC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 32776 CONTRACTOR ADDRESS: STREET 2311 153rd Ave SE Cu-se Snohomish STATE Washington ZIP 98290 CONTRACTOR PHONE:V 425-210-3841 CONTRACTOR EMAIL:doug@americansprink.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-210-3841 Doug Buehler CONTACT EMAIL:doug@americansprink.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK:$ 7,500 ASSOCIATED PERMIT#(if applicable): B2207-053 (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 LITownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure DESCRIPTION OF WORK:Add and relocate existing fire sprinklers for new walls and ceilings TYPE OF INSTALLATION: ❑New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of Heads: 48 ❑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 fo'r further information. ACKNOWLEDGEMENT:l 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 the 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 10/25/2022 PERMIT# 00 / Owner/ 'ut orized Agent Signature Date (Revised 4/21/2022) t f/ Z