1414 50TH ST SE 2023-07-31 - Laserfiche WebLink

sim FIRE S•PRESSION PERMIT APP•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 14 (4 5001 SLFeet SE PARCEL#: L CITY V E8E r-r STATE VVH ZIP SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): EVERETT QUALITY CARE �+ CONTACT INFORMATION OWNER NAME:JONAS DE BELA OWNER MAILING ADDRESS: STREET 14 14 50TH STREET SE i CITY Ev RE T 1 STATE VVH /II' �`'}(Z�`.' OWNER PHONE:425-903-7989 OWNER EMAIL:everettaualitvcare@vahoo.com CONTRACTOR COMPANY NAME: M FIRE PROTECTION SYSTEM LLC WA STATE CONTRACTOR LICENSE#(REQUIRED): M F I R E F P81 0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (0 3(G(0 $ CONTRACTOR ADDRESS: STREET3515 NORTHSHORE BLVD NE urv- ACCiivi/A WA yts4ZZ CONTRACTOR PHONE:253-315-9266 CONTRACTOR EMAIL: BYRON.M @ MFI REPROTECTIC PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:253-31 5-9266 BYRON MORALES CONTACT EMAIL: bvron.m @ mfireorotectionsystem.c( FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK:$7.000 ASSOCIATED PERMIT# (if applicable): (Valuation shah 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: retro fit existing AFH. TYPE OF INSTALLATION: ❑✓New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of Heads: `S I ❑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 lam 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 f0 PERMIT# (s�= 1 -30-23 Z 3 .. - 00 Owner/ orized Agent Signature Dale (Revised 4/21/2022) I