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PERMIT APPLICATIO'" <br /> BUILDIrS' MECHANICAL / PLUMBING / SIG . SPRINKLER / DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3003 WEST CASINO ROAD LAD - PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BOEING EVERETT TENANT BUSINESS NAME(Commercial): BOEING EVERETT <br /> OWNER MAILING ADDRESS: STREET 3003 WEST CASINO RD BLDG 40-56 <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:COSCO FIRE PROTECTION INC <br /> CONTRACTOR ADDRESS: STREET 4308 S 131 ST PL <br /> CITY TUKWILA STATE WA ZIP 98168 <br /> CONTRACTOR PHONE:2068511900 CONTRACTOR EMAIL:NRODEWALD@COSCOFIRE.COM� <br /> CONTRACTOR LICENSE#(REQUIRED):COSCOFP110NM CITY OF EVERETT BUSINESS LICENSE#(REQUIReD): L�C <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2068511900 <br /> NIKKI RODEWALD CONTACT EMAIL:NRODEWALD@COSCOFIRE.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $5000.00 <br /> Proposed Use of Building: Heat Source: OGas DElectric ❑Other <br /> BUILDING USE: ❑SFR Townhouse Duplex EIADU ❑Multi-Family-#Units: IICommercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑✓Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: INSTALL 15 NEW PENDENT SPRINKLERS TO PROVIDE PROTECTION TO NEW PRINTER <br /> ENCLOSURE <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry, mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/'SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System lb No.of Heads <br /> Chemical Suppression System I No.of Heads <br /> ACKNOWLEDGEMENT:I havereviewed this ap cation 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 IA‘_.The pr ng 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 ROW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMI��� \^ DOS <br /> Jennifer Bremmeyer m ••--•� � -�•�m�•�-•�•••�P�= 12/10/19 � �, L <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />