3003 W CASINO RD BLDG 40-53 2025-12-01

FIRE SUPPRESSION PERMIT APPLICATION 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 l(E)PermitServices@everettwa.gov l (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3003 West Casino Road PARCEL#: 28041000100200 CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: 40-53 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: Zone#SV53-3 TENANT/BUSINESS NAME(if non-residential):Boeing Everett 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:Vlking Automatic Sprinkler CO. WA STATE CONTRACTOR LICENSE#(REQUIRED):VI-KI-NA-S373NT ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 2729 CONTRACTOR ADDRESS: STREET 3434 1 st Avenue S CITY Seattle STATE WA z1P 98134 CONTRACTOR PHONE:206-622-4656 1CONTRACTOR EMAIL:mlChael.youell@vlkingsprinkler.net PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-622-4656 Michael Youell CONTACT EMAIL:michael.youelI@vikingsprinkler.net FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $12000 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:Viking to modify existing system to provide protection for Vertical Storage Unit. TYPE OF INSTALLATION: ❑New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of Heads:4 ❑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: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 I 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 Digitally signed by Michael Youell DN:C=US,E=michael.youell@vikingsprinkler.net, PERMIT# Michael Yo u e l l O=Viking Automatic Sprinkler,OU=Design, CN=Michael Youell 0 /22/24 Date:2024.10.22 12:5922-07'00' Owner/Authorized Agent Signature Date (Revised 412112022)