3201 SMITH AVE BEZOS ACADEMY 2024-08-07

FIRE S•PRESSION PERMIT APP•ATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHiNGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425.257.8810 1 (E)everetteps@everettwa.gov I (W)everettwa.gov/permits '(Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3201 SMITH AVENUE PARCEL#: 00439074401300 CITY EVERETT STATE WA zip 98021 SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential):BEZOS ACADEMY EVERETT CONTACT INFORMATION OWNER NAME:CITY OF EVERETT OWNER MAILING ADDRESS: STREET 2930 WETMORE AVENUE, SUITE 10A CITY EVERETT STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:Reliance Fire Protection, Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):RELIAFP 102L1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 31095 CONTRACTOR ADDRESS: STREET 8168 304th Ave. SE P.O. Box 428 CITY Preston STATE WA ZIP 98050-0428 CONTRACTOR PHONE:(206) 682-6636 CONTRACTOR EMAIL:Oleg@reliancefire.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (206) 682-6636 Oleg Sergeev CONTACT EMAIL:Oleg@reliancefire.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $ 10,500 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR Townhouse Duplex EADU Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: ADD/RELOCATE PENDENT SPRINKLERS PER NEW WALLS AND CEILINGS LAYOUT TYPE OF INSTALLATION: ❑New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ✓❑Water Suppression System-#of Heads:37 ❑Chemical Suppression System-#of Heads: NOTE:Application must be submitted with 2 sets of plans,calcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. • City of Everett Official Use Only PERMIT# f , � • 3 2 �Z0C) - aog Owner/Aut orized Agent Signature Date (Revised 2/8/2021) /7