1502 RUCKER AVE 2023-12-08 - Laserfiche WebLink

®ix FIRE S•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 l(E)PermitServices@everettwa.gov l (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREE1 1502 rucker ave PARCEL#: cm, Evrett STATE `Na zip 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Pisces pies CONTACT INFORMATION OWNER NAME:great sun Corp OWNER MAILING ADDRESS: sTREET593O 1 St ave s seattle CITY STATE wa ZIP 980108 OWNER PHONE:2062295245 OWNER EMAIL:franksourish@yahoo.com yahOO.COm CONTRACTOR COMPANY NAME:great sun WA STATE CONTRACTOR LICENSE#(RE.QUIRE:D):GreatS951 d1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (X 0070 CONTRACTOR ADDRESS: s15EFT5930 1 St ave s CITY seattle STATE wa ZIP 98108 CONTRACTOR PHONE:2062295245 CONTRACTOR EMAIL:frankSOUrish@yahoo.COm PRIMARY CONTACT: ❑OWNER Y CONTRACTOR HI OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2062295245 frank CONTACT EmAILfranksourish@yaho.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $2200 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 ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: [ Commercial ❑Accessory Structure DESCRIPTION OF WORK:new UI 300 fire system to hood TYPE OF INSTALLATION: I✓(New Suppression System I. lAdditions/Alterations to existing suppression system l ilOther-Describe above TYPE OF SUPPRESSION: i. Water Suppression System-#of I leads: (']Chemical Suppression System-#of Fieads:12 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# �^ i I _ l// 0(0 Owner/Authorized Agent Signature Date (Revised 4/21/2022) /z