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• . <br /> Num <br /> ra FIRE SUPPRESSION PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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 2512 COLBY AVE PARCEL#: <br /> crTi EVERETT STATE WA ZIP <br /> 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):KATE'S GREEK AMERICAN <br /> CONTACT INFORMATION <br /> OWNER NAME:HOLLY BREES <br /> OWNER MAILING ADDRESS: STREET2512 COLBY AVE <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE:425-319-3911 OWNER EMAIL:KATESONCOLBY@GMAIL.COM <br /> CONTRACTOR COMPANY NAME:PYE BARKER FIRE <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):PYEBAFS807D0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET735 E FAIRHAVEN AVE <br /> CITY BURLINGTON STATE WA ZIP 98233 <br /> CONTRACTOR PHONE:360-755-5444 CONTRACTOR EMAIL:TAYLORN@PYEBARKERFIRE.COM <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: N I S HA TAYLOR CONTACT PHONE:360-755-5444 <br /> CONTACT EMAIL:TAYLORN@PYEBARKERFIRE.COM <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK:$3526.00 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: ESFR ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: <br /> UPGRADE EXISTING FIRE SUPPRESSION SYSTEM TO UL 300 COMPLIANCE, <br /> ELECTRICAL TO BE PERMITTED & COMPLETED BY OTHERS <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: I(Chemical Suppression System-#of Heads:8 <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 properly to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# � ��� <br /> tiLjk,„ 2/8/2022 <br /> Owner/ orized Agent Signature Date (Revised 2/8/2021) <br /> /2_I <br />