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•1 *"-ffn- PERMIT APPLICATION• <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2939 Colby Ave Everett, WA 98201 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Historical Museum TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2939 Colby AVE <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Burns Fire Protection Systems <br /> CONTRACTOR ADDRESS: STREET P.O. Box 1110 <br /> CITY Granite Falls STATE WA ZIP 98252 <br /> CONTRACTOR PHONE: 360-691-2235 CONTRACTOR EMAIL: Adminasst@burnsfire.com <br /> CONTRACTOR LICENSE#(REQUIRED): BURNSFP841 DU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54660 <br /> PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-905-5780 <br /> Keith Kyle/ 1, rt• ‘ CONTACT EMAIL: Keith©burnsflre.Com/Qi00()1,,,ry,f-ttC <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: i11615e,t,t.yi Contract Price of Work: $ 54400 <br /> Proposed Use of Building: (n't LtSet,tin Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: EISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: VCommercial ❑Industrial <br /> Type of Project: ❑New DAddition ❑Remodel ❑Repair QT.I. ❑Sign VISprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Burns Fire to modify existing wet sprinkler to cover unprotected area within the workspace.Burns Fire also to add and relocate existing heads to meet new ceiling and wall layout for new museum. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn _Alteration Repair Type of Project: New Addn _Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRES.SIONVYSTEM`-\ <br /> Chemical or Water I 9 <br /> .1 No.of Heads <br /> ACKNOWLEDGEMENT:I have revi wed 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. ranting 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 un er any arcumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ,�,�_ ( 1/ / f l 1 <br /> tL' \ ./ �it,?:'E `/l(So! '5 PERMIT# t/f l 4 00/ <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br /> 2 <br />