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ni FIRE SUVRESSION PERMIT APPLW <br /> 1 ECEIIVE <br /> EVERETT SUBMITTAL INSTRUCTIONS: See CITY OF EVERETT PERMIT SERVICES <br /> applicable submittal checklist for submittal requirement. : . number of copies required fo-r iew, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3211 I 'dar Ng20d1142r3ake D ox. <br /> CONTACT INFORMATION: (P)425-257-8810 I (E)PermitServices©everettwa.go I ( )everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION CITY OF EVERETT <br /> 590036thavew 2804030020f11grmit Services <br /> PROJECT SITE ADDRESS: STREETPARCEL#: <br /> CITY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: Building'C' FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Bridge Point <br /> CONTACT INFORMATION <br /> OWNER NAME:Bridge Industrial <br /> OWNER MAILING ADDRESS: STREET 10655 NE 4th St. Suit 212 <br /> CITY Bellevue STATE WA ZIP 98004 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:Patriot Fire Protection Inc. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):PATRIFP099CF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024694 <br /> CONTRACTOR ADDRESS: STREET 2707 70TH AVE E <br /> CITY Tacoma STATE WA ZIP 98424 <br /> CONTRACTOR PHONE:(253)284-3512 CONTRACTOR EMAIL:Ethan.Nelson@PatriotFire.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(253)284-3512 <br /> Ethan Nelson CONTACT EMAIL:Ethan.Nelson@PatriotFire.corn <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK: $332,000 ASSOCIATED PERMIT#(if applicable):#B2204-051 (Building permit) <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: Install 3 ESFR sprinkler systems, in new tilt panel construction shell warehouse. <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:1231 ❑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:1 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 14 <br /> !2, S/�Z� PERMIT# o CIO <br /> 0 er/Authorized Agent Signature / Date (Revised 4/21/2022) ^ <br />