1001 N BROADWAY LEARNING RESOURCE CENTER 2026-01-15

FIRE S 'PPRESSION PERMIT APP CATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 I(W)everettwa.gov/permits (Blue'or'Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1001 N BROADWAY PARCEL#: 29051700214800 ,,Ty EVERETT STATE WA z p 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):EVERETT COMMUNITY COLLEGE, LEARNING RESOURCE CENTER CONTACT INFORMATION OWNER NAME:EVERETT COMMUNITY COLLEGE OWNER MAILING ADDRESS: STREET2000 TOWER ST CITY EVERETT STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:COLUMBIA FIRE WA STATE CONTRACTOR LICENSE#(REQUIRED):COLUMFI952MG CITY OF EVERETT BUSINESS LICENSE*(REQUIRED): 048229 CONTRACTOR ADDRESS: STREET 111 S FINDLAY ST clTY SEATTLE STATE WA "P 98108 CONTRACTOR PHONE:(206)232-8569 CONTRACTOR EMAIL:MARCOB@COLUMBIAFIRE.NET PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(206)232-8569 MARCO BELLUTTA CONTACT EMAIL:MARCOB@COLUMBIAFIRE.NET FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK:$202,000 ASSOCIATED PERMIT#(if applicable): (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: NFPA 13-2016, DESIGN AND INSTALL NEW WET SYSTEM. TOTAL HEADS: 665 TYPE OF INSTALLATION: ❑✓New Suppression System ❑Additions/Alterations to existing suppression system []Other-Describe above TYPE OF SUPPRESSION: ZWater Suppression System-#of Heads:665 ❑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: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.l am the owner,or l am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 10 ^0 0q 10/28/2021 Owner/Authorized Agent Signature Date (Revised Y2-