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• • <br /> FIRE SUPPRESSION PERMIT APPLICATION <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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 3000 Rockefeller Ave PARCEL#: 00439171600000 <br /> CITY Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: 3 ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Snohomish County Courthouse <br /> CONTACT INFORMATION <br /> OWNER NAME:SNOHOMISH CO PROP MGMT <br /> OWNER MAILING ADDRESS: STREET3000 Rockefeller Ave <br /> crr Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME: COLUMBIA FIRE LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): COLUMFL795NJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 048229 <br /> CONTRACTOR ADDRESS: STREET 111 S Findlay St <br /> CITY Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE:206-232-8569 CONTRACTOR EMAIL:saulam@columbiafire.net <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ©OTHER(Please Specify) Designer <br /> CONTACT NAME: CONTACT PHONE:206-232-8569 <br /> Sau Lam CONTACT EMAIL:saulam@columbiafire.net <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK:$26,500 ASSOCIATED PERMIT#(if applicable):B2206-040 <br /> (Valuation shall indude 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: IZiCommercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: <br /> NFPA13-2016, TI, Wet System. Relocate/add sprinkler for new walls and ceiling. Total <br /> heads: 28 <br /> JUN 2 8 2023 <br /> CITY OF EVERETT <br /> Permit Services <br /> TYPE OF INSTALLATION: ❑New Suppression System IZiAdditions/Alterations to existing suppression system ❑Other-Describe above <br /> TYPE OF SUPPRESSION: IZWater Suppression System-#of Heads:28 EChemical 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 /> current federal,state,and local law.The granting of a pemit 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 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> kotudy,6,`, h ^" t 6/23/2023 PERMIT# <br /> K230(p- o I ) <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />