2520 MADISON ST SUNRISE CONVALESCENT CENTER 2025-08-08

ni FIRE SU RESSION PERMIT APPLIt TION 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 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2520 MADISON ST. PARCEL#: 28050800200100 CITY EVERETT STATE WA zip 98203 SUITE/UNIT#:N/A FLOOR#: N/A ADDITIONAL LOCATION INFORMATION:N/A TENANT/BUSINESS NAME(if non-residential):SUNRISE VIEW CONVALESCENT CENTER CONTACT INFORMATION OWNER NAME:SUNRISE VIEW RETIRE VILLA INC. OWNER MAILING ADDRESS: STREET2520 MADISON ST Cry EVERETT STATE WA zip 98203 OWNER PHONE:425-246-4351 OWNER EMAIL:dhamerly@SUnriSeVIeW.Org CONTRACTOR COMPANY NAME:ALL AMERICAN FIRE PROTECTION INC WA STATE CONTRACTOR LICENSE#(REQUIRED):ALLAMAF854QF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 043366 CONTRACTOR ADDRESS: STREET PO BOX 393 CITY EVERETT S;ATI-WA ,, 98206 CONTRACTOR PHONE:360-474-9773 CONTRACTOR EMAIL:allameriCanflre@aOI.COITI PRIMARY CONTACT: ❑OWNER [✓I CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-214-6009 JAY SC H N E B LY CONTACT EMAIL:allamericanfirepermits©gmail.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $8,732.00 ASSOCIATED PERMIT#(if applicable):N/A (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:ALL AMERICAN FIRE PROTECTION, A LICENSED CONTRACTOR IN THE STATE OF WASHINGTON WILL BE INSTALLING A NEW AMEREX 3.75 GALLON WET CHEMICAL FIRE SUPPRESSION SYSTEM INTO THE KITCHEN HOOD REPLACING AN OLD WATER SYSTEM TO UL300 TESTING STANDARDS. TYPE OF INSTALLATION: [I New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ❑Water Suppression System-#of Heads: 'Ithemicai Suppression System-#of Heads:6 NOTE:Application must be submitted with 2 sets of plans,talcs,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 I 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 4\11( 12/14/2023 PERMIT# `� Z Z l � —L, Li Owner/Autho ' d gent ignature Date (Revised 4/21/2022) J