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0 0 <br />PERMIT APPLICATION <br />BUILDING i MECHANICAL / PLUMBING I SIGN / SPRINKLER I DEMOLITION <br />EVERETT 32CITY OF EVERETT PERMIT SERVICES <br />00 CEDAR STREET, EVERETT, WA 98201 <br />,ern.cH!Na -TAN (P1425-257-8810 1 FAX 425-257-8857 1 (E) everettepsP-everettwa.gov I www.everettwa.gov/permits <br />{Rios r Bla k Ink:Only Phase);, PROJECT SITS, INFORMATION } <br />PROJECT SITE ADDRESS.215 SW Everett Mall Way <br />PROPERTY TAX #: 28042400102200 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION _ <br />OWNER NAME: Leibold Services, LLC TENANT BUSINESS NAME (Commercial): Everett Power Sports <br />OWNER MAILING ADDRESS: STREET9507 7th Ave SE <br />c,N Everett STATE WA zip 98208 <br />OWNER PHONE: 425-422-7427 <br />OWNER EMAIL: everettpowersports@msn.com <br />CONTRACTOR NAME: Nor -Tech Fire Protection, Inc. <br />CONTRACTOR ADDRESS: STREET20030 NE Novelty Hill Rd, Box B <br />CITY Redmond STATE WA ziP 98053 <br />CONTRACTOR PHONE:425-898-9111 <br />CONTRACTOR EMAIL: dean@nortechfire.Com <br />CONTRACTORLICENSE #(REQUIRED): NORTEFP051 P6 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 043556 <br />PRIMARY CONTACT: ❑OWNER EI CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Dean Olsen <br />CONTACT PHONE:425-898-9111 <br />CONTACT EMAIL: dean@nortechfire.com <br />BUILDING INFORMATION <br />Existing Use of Building: Commercial <br />Contract Price of Work: $ 11 900.00 <br />Proposed Use of Building: same <br />I Heat Source: ❑Gas ElElectric []Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex EIADU ❑Multi -Family- # Units: OCommercial ElAccessory Structure <br />Type of Project: ❑New OAddition ❑Remodel ❑Repair Z✓ T.I. []Sign ZSprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Add 20 upright fire sprinkler heads and 4 sidewall fire sprinkler heads for protection of garage space <br />from existing fire sprinkler system, with no change to existing system hydraulic calculations. <br />ASSOCIATED BUILDING PERMIT # (if applicable), <br />MEGH,QNiCA'L <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List ofFixiures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A!C -Air Handling Units <br />Gas Piping <br />Backflow, Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp;prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />Water Heater <br />'SPAINKILER4 4VPP'RESSION <br />SYSTEM _ <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />1 24 <br />No. of Heads <br />Chemical Suppression System <br />I <br />lNo. of Heads <br />ACKNOWLEDGEMENT., l 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. l am the owner, or i am authorized by the owner of this property to perform the work for which application is made, <br />and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT [ aL!5-- <br />(Revised 1011012018) <br />