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FIRE SUPPRESSION PERMIT APPLICATION <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 l (E) PermitServices@everettwa.gov l (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 3003 West Casino Road PARCEL #: 28041000100200 <br />CITY Everett STATE WA z,P 98203 <br />SUITE/UNIT #: 40-36 FLOOR #: FSI-MIC Mezzanines ADDITIONAL LOCATION INFORMATION: Zone #sv-36-T2 <br />TENANT/BUSINESS NAME (if non-residential): Boeing Everett <br />CONTACT INFORMATION <br />OWNER NAME: Boeing Company <br />OWNER MAILING ADDRESS: STREET PO Box 3707 MS 6A1-01 <br />CITY Seattle STATE WA ZIP 98124 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR COMPANY NAME:Viking Automatic Sprinkler Co. <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): VI-KI-NA-S373NT <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 2729 <br />CONTRACTOR ADDRESS: STREET 3434 1 st Avenue S <br />A <br />CITY Seattle STATE Wry ZIP 98134 <br />CONTRACTOR PHONE:206-622-4656 <br />1CONTRACTOR EMAIL: r ichael.youell@vlkingsprinkler.net <br />PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Michael Yo u e l l <br />CONTACT PHONE:206-622-4656 <br />CONTACT EMAIL: michael.youell@vikingsprinkler.net <br />FIRE SUPPRESSION PERMIT INFORMATION <br />VALUATION OF WORK: $ 263,000 ASSOCIATED PERMIT# (if applicable): <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: Viking to extend existing wet pipe sprinkler system from tunnel to first floor to add <br />protection under 2 new mezzanine platforms. <br />TYPE OF INSTALLATION: ❑New Suppression System Z Additions/Alterations to existing suppression system ❑Other - Describe above <br />TYPE OF SUPPRESSION: ❑✓ Water Suppression System - # of Heads: 303 ❑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 />_-7-f4j, 1,/S- 12 PERMIT # <br />Owner/Authorized Agen ature Date (Revised 412112022) <br />