2828 COLBY AVE KIMLEY HORN 2025-04-16

FIRE SLJSPRESSION PERMIT APPL.*ATION 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 I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2828 COLBY AVE PARCEL #: 35040500040006 CITY EVERETT STATE WA ZIP 98201 SUITE/UNIT #: FLOOR #: 2&3 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): KIMLEY-HORN CONTACT INFORMATION OWNER NAME: HITT CONTRACTING OWNER MAILING ADDRESS: STREET 2025 1 ST AVE STE 1212 CITY SEATTLE STATE WA ZIP 98121 OWNER PHONE: 206-276-7082 OWNER EMAIL: NDaas@hilt-gc.com CONTRACTOR COMPANY NAME: PATRIOT FIRE PROTECTION WA STATE CONTRACTOR LICENSE #(REQUIRED): PATRIFP099CF CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 024694 CONTRACTOR ADDRESS: STREET 2707 70TH AVE E CITY FIFE STATE WA ZIP 98424 CONTRACTOR PHONE: 253-926-2290 CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Daniel P o l l astro CONTACT PHONE: 253-736-3221 CONTACT EMAIL: daniel.pollastro@patriotfire.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $ 80,000 ASSOCIATED PERMIT# (if applicable): (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: Extend existing system to the new tenant space on levels 2 and 3. TYPE OF INSTALLATION: ❑New Suppression System [?]Additions/Alterations to existing suppression system ❑Other - Describe above TYPE OF SUPPRESSION: ❑✓ Water Suppression System - # of Heads: 73 ❑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. I am the owner, or 1 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 Digitally signed by Daniel Pollastro PERMIT # _ Daniel Po I I ast ro ONPatioSFi aProtection, CN Daniel Plollast 2/24/2023 Date: 2023.02.24 14:04:07-08'00' Owner/Authorized Agent Signature Date (Revised 412112022)