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FIRE SIePRESSION PERMIT APPLIATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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)everetteps@everettwa.gov 1(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 3003 W CASINO ROAD 40-31 BLDG COL E PARCEL#: <br /> CITY EVERETT STATE WA zip 98203 <br /> SUITE/UNIT#:40-31 COL BF-16FLooR#: 1ST ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):BOEING EVERETT PLANT <br /> CONTACT INFORMATION <br /> OWNER NAME:BOEING <br /> OWNER MAILING ADDRESS: STREET 3003 W CASINO ROAD <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:ALEXANDER GOW FIRE EQUIPMENT CO. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):ALEXAGFO97NWICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050029 <br /> CONTRACTOR ADDRESS: STREET 1436 NW 53RD STREET <br /> CITY SEATTLE STATE WA ZIP 98107 <br /> CONTRACTOR PHONE:206-632-2810 CONTRACTOR EMAIL:kmullen@gowfire.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-718-1009 <br /> KEV I N M U L L E N CONTACT EMAIL:kmullen@gowfire.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK:$20,000 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: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK:INSTALL CO2 SYSTEM ON CENTER-LESS GRINDER MACHINE <br /> TYPE OF INSTALLATION: IINew 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: 1 <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.lam the owner,or lam 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# 1`D ,0d Z <br /> er/Autho ized Agent Signature Date (Revised 2/8/2021) <br /> l <br /> Z.. <br />