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FIRE •PPRESSION PERMIT AP•CATION <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) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1111 80th st sw PARCEL#: <br /> cm, EVERETT STATE WA zip 98203 <br /> SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME (if non-residential): JAMCO <br /> CONTACT INFORMATION <br /> OWNER NAME: JAMCO <br /> OWNER MAILING ADDRESS: STREET1111 80TH ST SW <br /> crry EVERETT STATE WA zip 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:COSCO FIRE PROTECTION INC. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):COSCOFP1 10NM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: sTREET4308 S 131ST PL <br /> cirr TUKWILA STATE WA ZIP 98168 <br /> CONTRACTOR PHONE:206-453-2436 CONTRACTOR EMAIL:JBRE:MMEYER@COSCOFIRE.COM <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-453-2436 <br /> JENNIFEER BREMMEYER CONTACT EMAIL:JBREMMEYER@COSCOFIRE.COM <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK: $39697.00 ASSOCIATED PERMIT#(if applicable):B2106-005 <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 /> BUILDIING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure _ <br /> DESCRIPTION OF WORK: RE-INSTALL EXISTING SYTEM IN PAINTBOOTH RELOCATED FROM ADJACENT <br /> BUILING AND INSTALL NEW WET SYSTEM IN NEW PAITBOOTH BEING <br /> INSTALLED <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:18 ❑Chemical Suppression System-#of Heads: <br /> NOTE:Application must be submitted with 2 sets of plans,calcs,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 /> /L5//.,a KV09- 00-2. <br /> er/Authoriz Agent S' ure 4 to (Revised 2/8/2021) <br />