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FIRE S,.PPRESSION 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)everetteps@everettwa.gov j(W)everettwa.gov/permits (Blue or Black Ink Only Please) ) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 4 Broadway Ave PARCEL#: 00544701501101 CITY Everett STATE WA ZIP 98203 SUITEIUNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):St.Vincent Depaul CONTACT INFORMATION OWNER NAME:St,Vincent Depaul OWNER MAILING ADDRESS: STREET5303 Evergreen Way CITY Everett STATE WA Z1p 98203q OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:Wolfe Fire Protection WA STATE CONTRACTOR LICENSE#(REQUIRED):WOLFEFP906DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050129 CONTRACTOR ADDRESS: STREET832 80TH Street SW CITY Everett STATE WA ZIP 98203 CONTRACTOR PHONE:(360)794-8621 ext 206 CONTRACTOR EMAIL:jodij@wolfefp.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(360)794-8621 ext 201 Casey Yardley CONTACT EMAIL:caseyy@wolfefp.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $37,200 ASSOCIATED PERMIT#(if applicable):B2112-004 (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: Install a new wet pipe sprinkler system. Designed and installed to 2016 NFPA 13 code, 2018 IFC, and local jurisdiction standards. TYPE OF INSTALLATION: ❑✓New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: [?]Water Suppression System-#of Heads:68 ❑Chemical Suppression System-#of Heads: 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:1 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 1 am authorized by the ormer 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. Q,/Zo City of Everett Official Us`ee Only PERMIT# / 1i (l\ y Y own I uthorized A e if Signature Date (Revised 21812021)