9113 9TH AVE SE 2023-06-23 - Laserfiche WebLink

FIRE S1PRESSION PERMIT APPLoATION 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 9113 9th Ave SE PARCEL#: 00663700001200 ciTy Everett STATE WA zip 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): CONTACT INFORMATION OWNER NAME:Yitagessu Bekele OWNER MAILING ADDRESS: STREET9113 9th Ave SE CITY Everett STATE WA ZIP 98208 OWNER PHONE: OWNER EMAIL:yitabekele@gmail.com CONTRACTOR COMPANY NAME:M Fire Protection System LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):MFIREFP810B5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6366,9 CONTRACTOR ADDRESS: STREET3515 Northshore Blvd NE my Tacoma STATE WA ZIP 98422 CONTRACTOR PHONE:(253)315-9266 CONTRACTOR EMAIL:Byron.m@mfireprotectionsystem.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(253)315-9266 Byron CONTACT EMAIL:Byron.m@mfireprotectionsystem.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $7000 ASSOCIATED PERMIT# (if applicable): ( 43120 I —0(4 (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:Installation of new sprinkler system per NFPA 13D TYPE OF INSTALLATION: ❑✓New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of Heads:25 ❑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. lam 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 10-26-22 PERMIT# /� ^ — (90 3 Owner/A horized Agent Signature Date (Revised 4/21/2022) Q1�