Laserfiche WebLink
• • <br /> FIRE SUPPRESSION PERMIT APPLICATION <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)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1920 MERRILL CREEK PARKWAY PARCEL#: 28040200401100 <br /> CITY EVERETT STATE WA ZIP 98203 <br /> SUITE/UNIT#: WAREHOUSE/OFFICE FLOOR#: MAIN ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):UMC <br /> CONTACT INFORMATION <br /> OWNER NAME:UMC, INC <br /> OWNER MAILING ADDRESS: STREET 11611 49th PI W <br /> clry Mukilteo STATE WA ZIP 98275 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Fire Systems West <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):fireswi 140b1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 022919 <br /> CONTRACTOR ADDRESS: sTREET206 Frontage Rd N, Suite C <br /> cm, Pacific STATE WA ZIP 98047 <br /> CONTRACTOR PHONE:253-833-1248 CONTRACTOR EMAIL:therond©firesystemswest.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-202-7006 <br /> Theron Davis • <br /> CONTACT EMAIL:therond@firesystemswest.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK:$9,000 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: ACommercial L,Accessory Structure <br /> DESCRIPTION OF WORK: <br /> Add/relocate heads to accommodate new walls and ceilings in existing <br /> warehouse/office areas. <br /> TYPE OF INSTALLATION: Li New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above <br /> TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of Heads: 13 ❑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 compry voth <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 WA C. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owner/Authorized Agent S ature Date (Revised 2/8/2021) <br /> e' <br />