3003 W CASINO RD BLDG 40-58 2025-09-29

FIRE S11 'OPRESSION PERMIT APPL "'PATION 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 W.Casino Rd. PARCEL#: 28041000100200 CITY EVERETT STATE WA ZIP SUITE/UNIT M FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Boeing 40-58 SPARS CONTACT INFORMATION OWNER NAME:Boeing Company OWNER MAILING ADDRESS: STREET PO Box 3707 MS 6A1-01 CITY Seattle STATE WA ZIP 98124 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:VIKING AUTOMATIC SPRINKLER CO. WA STATE CONTRACTOR LICENSE#(REQUIRED):VIKINAS373NT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 2729 CONTRACTOR ADDRESS: STIEET3434 FIRST AVE S CITY SEATTLE STATE WA ZIP 98134 CONTRACTOR PHONE:(206)622-4656 CONTRACTOR EMAIL:donald.koval@vikingsprinkler.net PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) VIKING AUTOMATIC SPRINKLER COMPANY CONTACT NAME: CONTACT PHONE:(206)437-2063 Donald Koval CONTACT EMAIL:donald.koval@vikingsprinkler.net FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $15,000.00 ASSOCIATED PERMIT#(if applicable): FJ 7i2V U 3+ Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actual) aid or not. P 9P YP BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure DESCRIPTION OF WORK: Extend existing supply to new risers to supply protection under mezzanine, (2) Paint Booths, and an outlet for a future Paint Booth. Add (2) quick response sprinklers to new bathrooms below mezzanine. TYPE OF INSTALLATION: ❑New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of Heads:2 ❑Chemical Suppression System-#of Heads: NOTE:Application must be submitted with 2 sets of plans,calcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. 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 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 owner 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. City of Everett Official Use Only ZAE PERMIT# K 2 S 0 I- O O G Owner/Authorized Agent Signature Date (Revised 412112022) /_