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FIRE SUPPRESSION PERMIT APPLICATION <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 />WASRINOTON 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) overettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 1321 SE EVERETT MALL WAY PARCEL #: 28051800404800 <br />clry EVERETT STATE WA zlR 98208 <br />SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential):ANGRY CRAB SHACK <br />CONTACT INFORMATION <br />OWNER NAME:PATRICK MASSE <br />OWNER MAILING ADDRESS: SIREET1321 SE EVERETT MALL WAY <br />clrr EVERETT STATE WA vP 98208 <br />OWNER PHONE:425-286-7200 <br />1OWNER EMAIL: <br />CONTRACTOR COMPANY NAME:ALL AMERICAN FIRE PROTECTION INC <br />WA STATE CONTRACTOR LICENSE #(REQUIRED):ALLAMAF854QF <br />ICITYOF EVERETT BUSINESS LICENSE O(REQUIRED): 043366 <br />CONTRACTOR ADDRESS: STReeTPO BOX 393 <br />env EVERETT STATE WA z,,, 98206 <br />CONTRACTOR PHONE:360-474-9773 <br />1CONTRACTOR EMAIL:allamerican fire@al.Com <br />PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />ke n n y graham <br />CONTACT PHONE;360-474-9773 <br />CONTACT EMAIL: allamerican_fire@aol.com <br />FIRE SUPPRESSION PERMIT INFORMATION <br />VALUATION OF WORK: $9200.00 ASSOCIATED PERMIT# (if applicable):na <br />(Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the v;ork, whether actually paid or not.) <br />BUILDING TYPE: ❑SFR []Townhouse []Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure <br />DESCRIPTION OF WORK: Remove AnsUl system and Install AmereX Zone Defense Wet Chemical System - (4) <br />3.75 gallon cylinders to UL300 testing standards. <br />TYPE OF INSTALLATION: ZNew Suppression System ❑ Add itions/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 circurnstance. 1 am the owner, or I am authorized by the owner of this property to pedonn the work for which application is made, <br />and I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br />10/20/2023 <br />lure M - 1 Date <br />City of Everett Official Use Only <br />PEr <br />(Revised 412112022) <br />