1816 112TH ST SE 2025-01-14 - Laserfiche WebLink

FIRE SPRESSION PERMIT APPL•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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1816 112TH ST SE PARCEL#: clrY EVERETT STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):SILVERLAKE 76 CONTACT INFORMATION OWNER NAME:FASAL KHAN OWNER MAILING ADDRESS: STREET 1816 112TH ST SE clry EVERETT STATE WA zip 98208 OWNER PHONE:425-985-1622 OWNER EMAIL:SILVERLAKE76@GMAIL.COM CONTRACTOR COMPANY NAME:PYE BARKER FIRE WA STATE CONTRACTOR LICENSE#(REQUIRED):PYEBAFS807DO CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: sTREET735 E FAIRHAVEN AVE CITY BURLINGTON STATE WA ZIP 98233 CONTRACTOR PHONE:360-755-5444 CONTRACTOR EMAIL:TAYLORN@PYEBARKERFIRE.COM PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-755-5444 NJ I S HA TAYLOR CONTACT EMAIL:TAYLORN@PYEBARKERFIRE.COM FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $1790.00 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 ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: COMMISSION PRE-PIPED SELF CONTAINED FRYING UNIT - RESFAB MB502-ATV TYPE OF INSTALLATION: ❑�New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ❑Water Suppression System-#of Heads: ✓❑Chemical Suppression System-#of Heads: b 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 Digitally signed by Nisha A Taylor �) PERMIT# Nisha A Taylor eDma=taylo n@pyeblarke fi eYcomrce USre ou 5/4/2022 Date:2022.05.04 11:14:32-07'00' Owner/Authorized Agent Signature Date (Revised 4/21/2022) {