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FIRE OPPRESSION PERMIT AP•CATION <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)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1111 80th St SW PARCEL#: <br /> cm,, Everett STATE WA ZIP 98023 <br /> SUITE/UNIT#:Jamco FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):JamcO <br /> CONTACT INFORMATION <br /> OWNER NAME:Jamco <br /> OWNER MAILING ADDRESS: STREET 1111 80th St SW <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:COSCO Fire Protection Inc. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):COSCOFP1 1 ONM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: sTREET4308 S 131St PI <br /> CITY Tukwila STATE WA ZIP 98168 <br /> CONTRACTOR PHONE:2064532436 CONTRACTOR EMAIL:jbremmeyer@gmail.COm <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2064532436 <br /> Jennifer B re m m eye r CONTACT EMAIL:jbremmeyer@coscofire.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK: $8900 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 ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK:Install 6 new pendant sprinkles to the added misc storage room <br /> TYPE OF INSTALLATION: ❑New 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: <br /> NOTE:Application must be submitted with 2 sets of plans,talcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. <br /> ACKNOWLEDGEMENT:1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> nofpermit onlyauthorizes approved work and no deviations therefrom.Deviations must first be authorized in writingfrom the <br /> current federal,state,and local law. The granting a pp <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# 211 O —QM <br /> er/Authori Agent Si na ure ate (Revised 2/8/2021) <br /> f l� <br />