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mil <br /> FIRE SUPPRESSION PERMIT APPLI...ATION <br /> CITY OF EVERETT PERMIT SER ICES <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 8102 EVERGREEN WAY PARCEL#: <br /> ciTv EVERETT STATE WA zip 98203 <br /> SUITE/UNIT#: FLOOR#: ALL ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):FOUR CORNERS — <br /> CONTACT INFORMATION <br /> OWNER NAME:FOUR CORNERS, LLC <br /> OWNER MAILING ADDRESS: STREET 10900 NE 8TH STREET, SUITE 1200 <br /> CITY BELLEVUE STATE WA ZIP 98004 <br /> OWNER PHONE:425-453-9551 OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:UNLIMITED MECHANICAL, INC. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):UNLIMMI093M6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 3 7- S I <br /> CONTRACTOR ADDRESS: STREET PO BOX 1457 <br /> cm,' MARYSVILLE STATE WA ZIP 98270 <br /> CONTRACTOR PHONE:425-583-4775 CONTRACTOR EMAIL:SHELLEY@UMIFIREPROTECTION.COM <br /> PRIMAR CONTACT: ❑OWNER LI CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:shelley: 425-583-4775 Chris 210-250-8411 , <br /> Shelley - office Chris - designer CONTACT EMAIL:shelley: shelley@umifireprotection.com Chris: Christianswab@aol.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> ALUATION OF WORK:$325,375.00 ASSOCIATED PERMIT#(if applicable): BZ D l 0 0 g) <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 cture <br /> DESCRIPTION OF WORK: <br /> Install fire Sprinkler System <br /> TYPE OF INSTALLATION: IlNew Suppression System ❑Additions/Alteratioons to existing suppression system ❑Other-Describe above <br /> TYPE OF SUPPRESSION: Water Suppression System-#of Heads: \ 13L ❑Chemical Suppression System-#of Heads: <br /> NOTE:Application must be submi ,d with 2 sets of plans,calcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. <br /> CKNOWLEDGEMENT:I have eviewed this application and confirm the information contained herein is true and correct. Work done ursuant to this ermit must corn ly 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 ro erty to erform the work for which a lication 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 /> SPERMIT# �� �1 <br /> 7/16/2021 <br /> Owner/Authorized Agent S C.)re Date (Revised 2 8 2021 <br /> 1 ,. <br />