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FIRE Sl PRESSION PERMIT APPL :ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425.257.88101(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 6919 Evergreen Way PARCEL#: 00392800501100 <br /> CITY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Memo's mexican restaurant <br /> CONTACT INFORMATION <br /> OWNER NAME:EVERETT PROPERTIES NW LLC <br /> OWNER MAILING ADDRESS: STREET PO BOX 87399 <br /> c1Tv VANCOUVER STATE WA zlP 98687 <br /> OWNER PHONE:(503) 560-4065 OWNER EMAIL:memo@gtinvestmentsusa.com <br /> CONTRACTOR COMPANY NAME:TEKAS Fire & Hood Installations LLC <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):TEKASFH888JW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 14611 Ambaum Blvd SW <br /> CITY Burien STATE WA ZIP 98166 <br /> CONTRACTOR PHONE:206-617-4951 CONTRACTOR EMAIL:mortegafire@aol.com tekasfire@gmail.com <br /> PRIMARY CONTACT: ❑OWNER Z CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-617-4951 <br /> Miguel O CONTACT EMAIL:mortegafire@aol.com tekasfire@gmail.com <br /> FIRE SUPPRESSION PERMIT INFORMATION <br /> VALUATION OF WORK:$4,000.00 ASSOCIATED PERMIT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: <br /> Installation of 1 new fire suppression system for type I kitchen hood to protect cooking <br /> equipment replacing old system. <br /> TYPE OF INSTALLATION: ✓❑New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above <br /> TYPE OF SUPPRESSION: ❑Water Suppression System-#of Heads: ❑Chemical Suppression System-#of Heads:6 <br /> NOTE:Application must be submitted with 2 sets of plans,talcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> /// PERMIT#L r 2 <br /> 4jjkt7,i - I <br /> Owner/Authorized A 'e ignMure Date (Revised 21812021) r <br /> L �� <br />