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• • <br /> deem <br /> 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 /> WASHINOTON 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)PermitServices@everettwa.gov i(W)everettwa.gov/permits <br /> Blue.orBlack lnk Only Please) '``PROJECT S.ITE.INFORMATION • <br /> PROJECT SITE ADDRESS: STREET 1525 75th St.SW PARCEL#: 28041100100500 <br /> cnv Everett STATE WA zip 98203 <br /> SUITE/UNIT#: 100 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME Of non-residential):CasCade Coffee <br /> ::: .. `CONTACT'INFORMATION <br /> OWNER NAME:Johnson Properties LLC <br /> OWNER MAILING ADDRESS: STREET PO Box 5253 <br /> cm,Everett STATE WA ztP 98201 <br /> OWNER PHONE:206-234-4217 OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:AdvanCed Fire Protection, Inc. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):ADVAN FP199B6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 24103 <br /> CONTRACTOR ADDRESS: STREET PO Box 1543 <br /> cn Woodinville STATE WA Zip 98072 <br /> CONTRACTOR PHONE:425-949-9389 CONTRACTOR EMAIL:trice@advfire.net <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) _ __- <br /> CONTACT NAME: CONTACT PHONE:425-949-9389 <br /> Tom Rice CONTACT EMAIL:trice@advfire.net <br /> "= FIRE:SUPPRESSION PERMIT INFORMATIION <br /> VALUATION OF WORK:$6,820.00 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: OUR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: DCommercial DAccessory Structure <br /> DESCRIPTION OF WORK:Add (5) new upright sprinklers under new mezzanine. Cut mechanical tee fitting into <br /> existing 8" main and drop down to new structure with 2" line pipe. <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:,.5, ❑Chemical Suppression System-#of Heads: <br /> NOTE:Application must be submitted with 2 sets of plans,talcs,cut sheets,etc.See submittal checklist at everettwa,gov/perm Its for further information. <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true end 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!am authorized by the owner of this properly to perform the work for which application is made, <br /> and l comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> Cit of Everett Official Use Only <br /> (t <br /> 6/6/22 PERMIT# <br /> Owe? r/Authorized Age Signature Date (Revised 4/21/ 022 <br />