1415 75TH ST SW HELION ENERGY 2023-12-11

• E FIRE SUF'PRESSION PERMIT APPLICATION 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 I(E)PermitServices©everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1415 75th ST SW PARCEL#: 28041 100101000 can, EVERETT STATE WA zip 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION:MODULAR TEST LABS TENANT/BUSINESS NAME(if non-residential):HELION ENERGY CONTACT INFORMATION OWNER NAME:HELION ENERGY OWNER MAILING ADDRESS: STREET8210 154TH AVE NE STE 100 CITY REDMOND STATE WA me 98052 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:WESTERN STATES FIRE PROTECTION CO. WA STATE CONTRACTOR LICENSE#(REQUIRED):WESTESF136QF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET1469O NE 95th ST., UNIT 101 CITY REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-0100 CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:N I K I R H O D E S CONTACT PHONE:425-881-0100 CONTACT EMAIL:NIKI.RHODES@WSFP.US FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $3689.2 ASSOCIATED PERMIT#(if applicable): (Valuation shall 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 ElTownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑✓Accessory Structure DESCRIPTION OF WORK:5 SPRINKLER TENANT IMPROVEMENT ADD SPRINKLER PROTECTION FOR EACH NEW MODULAR TEST LAB IN ACCORDANCE WITH NFPA 13 AND THE CITY OF EVERETT. TYPE OF INSTALLATION: New Suppression System ✓❑Additions/Alterations to existing suppression system Other-Describe above TYPE OF SUPPRESSION: ✓❑Water Suppression System-#of Heads:5 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.I am the owner.or I am authorized by the owner of this property to perform the work for which application is made. and I complytith the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 2022-06-17 PERMIT# I\ d CP ® 0 0 3 I t orized Agent Signature Date (Revised 4/21/2022) IZ