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E <br /> FIRE SUPPRESSION <br /> i 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 /> 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 2616 Colby PARCEL#: <br /> CITY evrett STATE wa zip 98108 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non--residential):frying fish <br /> CONTACT INFORMATION <br /> OWNER NAME:great sun Corp <br /> OWNER MAILING ADDRESS: STREET5930 1 St ave s seattle <br /> CITY STATE wa ZIP 980108 <br /> OWNER PHONE:2062295245 OWNER EMAIL:frankSOUrlsh©yahoO.Com <br /> CONTRACTOR COMPANY NAME:great sun /�(�+�l <br /> WA STATE CONTRACTOR LICENSE#(RE y'0 V QUIRED):Greats951 d 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 7 k <br /> CONTRACTOR ADDRESS: sTREE15930 1 st ave s <br /> CITY Seattle STATE wa ZIP 98108 <br /> CONTRACTOR PHONE:2062295245 CONTRACTOR EMAIL:frankSOUrlsh C©yahOO.COM <br /> PRIMARY CONTACT: OWNER l l CONTRACTOR L ;OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2062295245 <br /> frank CONTACT EMAIL:franksourish@ yaho.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK: $3200 ASSOCIATED PERMIT#(if applicable): <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: L_ISFR L_1Townhouse ❑Duplex LIIADU [.lMulti-Family-#Units: _ [)Commercial LiAccessory Structure <br /> DESCRIPTION OF WORK:new ul 300 fire system to hood <br /> TYPE OF INSTALLATION: (k/;New Suppression System L__lAdditions/Alterations to existing suppression system L_IOthor-Describe above <br /> TYPE OF SUPPRESSION: ❑Water Suppression System-#of Heads: [ Chemical Suppression System- #of Heads:12 <br /> NOTE:Application must be submitted with 2 sets of plans,talcs,cut sheets,etc.See submittal checklist at everettwe.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 /> City of Everett Official Use Only <br /> PERMIT# \ ` — 0 0 5 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />