3200 CEDAR ST 2ND FL BLDG 1 2025-09-10

FIRE SUPPRESSION PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for subrnlllal requirements and number of copies required for review, %YA t 111$10 TON Ilien drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box, CONTACT INFORMATION:(P)425.257-B810 I(E)PefmIIServIcos@evereltwa,gov I(W)everettwa,govipermils (Bluo or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: SHIM 3200 Cedar St PARCEL#: 00439074800000 G 2 cit, Everett STATE Washington z1P 98201 SUITE/UNIT#:Rooms 236 & 248 FLOOR#:2nd Floor ADDITIONAL LOCATION INFORMATION; TENANT/BUSINESS NAME(if non-residential):Everett Service Center CONTACT INFORMATION OWNER NAME; City OF Everett OWNER MAILING ADDRESS: sneer 3200 Cedar St clry Everett SrA,E Washington z,P 98201 OWNER PHONE:425-508-6886 OWNER EMAIL: RDance@everettwa,gov CONTRACTOR COMPANY NAME: American Sprinkler Corp WA STATE CONTRACTOR LiCENSE#(REQUIRED):AMERiSCOUNC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 7' CONTRACTOR ADDRESS: STREET 2311 153rd Ave SE CRY Snohomish STATE Washington Z1f, 98290 CONTRACTOR PHONE: 425-210-3841 1CONTRACToR EMAIL: doug@americansprink.Conl PRIMARY CONTACT: ❑OWNER O CONTRACTOR D OTHER(Please Speci(y) CONTACT NAME: CONTACT PHONE: 425-21 0-3841 Doug Buehler CONTACT EMAIL: cloug@americansprink,com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK:$ 2,500 1ASSOCIATED PERMIT# if a licabla : (valuation aaall 1000 Iho provalrng falr rnalkot vakle of ail aWr,rnatotiats,and oquipmont haedod to comptoto tho vro1k,tNtoplor aclualty atd or not) BUILDING TYPE: ❑SFR ❑Townhouse ❑Du lex ❑ADU ❑Muni-Fnmll -#Units:_..__ ❑✓Commercial DAccessory Structure DESCRIPTION of WORK: Add 3 new sprinkler and change 6 existing standard response sprinklers to new quick response sprinklers for new walls TYPE OF INSTALLATION; 0 NewSupproosion S stem ❑✓Additions/Allorallons to exIs ling suppresslon system ❑outer-Describe above TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of Heads: ❑Chomical Suppression System-#of Heads: _ NOTE:Application must be submitlod with 2 sets of plans,cales,cut sheets,etc.see submittal checklist at everettwa Qov/permits for furiher Informatfon. ACKNOWLEDGEMENP I havo roviowod this application and con0rm tho infommllon conlanod heroin Is iruo and cormct.Work dona pursuant fo this pormfl must comply with currant todoral,stalo,and local fasv.Tho grantbsq of a pomlil only outhodros approved work and no devialtans lhorofrom.Doviallons mwf first bo authodzod In ovr(ling from tho Building official boforo bolnq authorized undor any clrcums(anco•1 am mo oswier,or I am aufllodzod by 1110 owner of lhls property to por/om1 fho sstirk for whlcls application Is made, and I comply with lho Stalo Contractors Low 10,27 RCW and 206.200A WAG, City of Evorolt Olfklol Use Only 3/2/23 PERMIT# 40,1Ajzod Agent Signaturo Data (Rovisod 4/2112OZ2)