Laserfiche WebLink
FIRE 'PRESSION PERMIT APFSCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON 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 or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1710 W Marine View Drive PARCEL#: 29051800400500 <br /> CITY Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME (if non-residential):Gardner Bldg Ti-Sound 2 Summit <br /> CONTACT INFORMATION <br /> OWNER NAME:Port of Everett <br /> OWNER MAILING ADDRESS: STREET PO box 538 <br /> clTr Everett STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME: COLUMBIA FIRE, INC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): COLUMPL,I GI 1G, CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 048229 <br /> CONTRACTOR ADDRESS: STREET 111 S Findlay St <br /> clTv Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE:206-232-8569 CONTRACTOR EMAIL: sun@columbiafire.net <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR 0 OTHER(Please Specify) Sprinkler Designer <br /> CONTACT NAME: CONTACT PHONE: <br /> Mantian Sun CONTACT EMAIL: sun@columbiafire.net <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK: $3200 ASSOCIATED PERMIT#(if applicable): D 22:_-) - <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: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK:Add and relocate quick response sprinkler head for the new tenant improvement <br /> project to comply with NFPA13-2016. <br /> TYPE OF INSTALLATION: ❑New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above <br /> TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of H s:12 ❑Chemical Suppression System-#of Heads: <br /> NOTE:Application must be submitted with 2 sets of plans,talcs,cut sheets,etc.Sees I a checklist at everettwa.gov/permits for further information. <br /> 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 <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 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 /> �1 City of Everett Official Use Only <br /> PERMIT <br /> loll- 0 0 3 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br /> /Z <br />