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FIRE SoPRESSION PERMIT APP*ATION <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 3003 West Casino Road PARCEL#: 28041000100200 <br /> CITY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: 40-23 FLOOR#: Ground level ADDITIONAL LOCATION INFORMATION: Zone#SV23-T4 <br /> TENANT/BUSINESS NAME(if non-residential):Boeing Everett <br /> CONTACT INFORMATION <br /> OWNER NAME:Boeing Company <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS 6A1-01 <br /> CITY Seattle STATE WA ZIP 98124 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Viking Automatic Sprinkler Co. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):VI-KI-NA-S373NT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 2729 <br /> CONTRACTOR ADDRESS: STREET 3434 1st Avenue S <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE:206-622-4656 CONTRACTOR EMAIL:Michael.youell@vikingsprinkler.net <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-622-4656 <br /> M lc h ae I You e l l CONTACT EMAIL:michael.youell@vikingsprinkler.net <br /> -) FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF , 'RK: $101,132 ASSOCIATED PERMIT#(if applicable): <br /> (Valuation shall inclu.(-the prevailing fair value of all labor.materials,and equipment needed to complete the work,whether actually paid or not.) <br /> BUILDING TYPE: ❑SFR ❑Townhouse El Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: Viking to modify existing wet pipe sprinkler system to provide a new 6" main supply line <br /> to five (5) new 3" tooling supply lines with control valves and seismic flex pipe. <br /> TYPE OF INSTALLATION: ❑New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above <br /> TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of Heads:° ❑Chemical Suppression System-#of Heads: <br /> NOTE:Application must be submitted with 2 sets of plans,calcs,cut sheets,etc.See submittal 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!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> - PES42.1Z 30C -413 <br /> Owner/Authorized Ag Ignature Date (Revised 4/21/2022) <br />