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FIRE S'PRESSION PERMIT APPLPATION <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) l 0 PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREE7 4. <br /> Marine View Dr PARCEL#: 29051800300800 <br /> CITY Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Everett Yacht Club <br /> CONTACT INFORMATION <br /> OWNER NAME:PORT OF eVERETT <br /> OWNER MAILING ADDRESS: STREET PO BOX 538 <br /> cln, EVERETT STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Wolfe Fire Protection <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WOLFEFP906DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050129 <br /> CONTRACTOR ADDRESS: STREET832 80th Street SW <br /> ciTY Everett STATE WA zIP 98002 <br /> CONTRACTOR PHONE:(360)794-8621 ext 206 CONTRACTOR EMAIL:jodij@wolfefp.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: R (`� • <br /> CONTACT PHONE:(360)794-8621 ext 313 <br /> Chuck a m ford CONTACT EMAIL:chuckb@wolfefp.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK: $77,600 ASSOCIATED PERMIT#(if applicable):B2109-057 <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 of a new wet and dry sprinkler systems in existing building with 93 sprinkler <br /> heads <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:93 ❑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: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.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# <br /> Owne/ uthorized AV " Signature Date (Revised 2/8/2021) <br /> I / <br />