8102 EVERGREEN WAY 2024-06-12 - Laserfiche WebLink

E FIRE SOPRESSION PERMIT APPL@ATION CITY OF EVERETT PERMIT SER ICES 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 I(E)everetteps©everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 8102 EVERGREEN WAY PARCEL#: cny EVERETT STATE WA zip 98203 SUITE/UNIT#: FLOOR#: ALL ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):FOUR CORNERS = CONTACT INFORMATION OWNER NAME:FOUR CORNERS, LLC OWNER MAILING ADDRESS: STREET 10900 NE 8TH STREET,SUITE 1200 CITY BELLEVUE STATE WA zip 98004 OWNER PHONE:425-453-9551 OWNER EMAIL: CONTRACTOR COMPANY NAME:UNLIMITED MECHANICAL, INC. \ WA STATE CONTRACTOR LICENSE#(REQUIRED):UNLIMMI093M6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): S 31-5 I CONTRACTOR ADDRESS: STREET PO BOX 1457 c" MARYSVILLE STATE WA zip 98270 CONTRACTOR PHONE:425-583-4775 CONTRACTOR EMAIL:SHELLEY@UMIFIREPROTECTION.COM PRIMAR CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:shelley: 425-583-4775 Chris 210-250-8411 Shelley- office Chris - designer CONTACT EMAIL:Shelley: shelley@umifireprotection.com Chris: Christianswab@aol.com FIRE/ SUPPRESSION PERMIT INFORMATION ALUATION OF WORK:$ �(05, 1-1DO I •OC) ASSOCIATED PERMIT#(if applicable): W2O 1 0 — o S I (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 ❑ADU ©Multi-Family-#Units: ❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: Install fire Sprinkler System TYPE OF INSTALLATION: ©New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: Water Suppression System-#of Heads: l i 11..d.0 ❑Chemical Suppression System-#of Heads: NOTE:Application must be subm' ed with 2 sets of plans,calcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. CKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct Work done ursuant to this ermit must corn ly 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.1 am the owner,or I am authorized by the owner of this to erty to erform the work for which a lication is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#' t( . ^7/16/2021 L., o1 © i Owner uthorized Ag ,nature Date (Revised 2 8 2021