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t- . ' PERMIT APPLICATI 'I <br /> BUILDII I I I MECHANICAL/ PLUMBING/SIG 3PRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> BI e°c►r Bla�r �RI a�s'e ;�� ' R�" g T SITE INF � `�� �• � � � � <br /> (. � ���. �� ) ,�� �4t�,� QR� ��� ���.�r �_� <br /> PROJECT SITE ADDRESS:3003 W.Casino Rd. � �� � �� � � PROPERTY TAX#: � � � � <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION: <br /> OWNER NAME: Boeing TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReer 3003 W.Casino Rd. <br /> cin Everett STATE WA zia 98023 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME;Fire Systems West,Inc <br /> CONTRACTOR ADDRESS: sTReer 206 Frontage Rd N.Suite C <br /> �ir. Pacific STATE WA ZiP 98047 <br /> CONTRACTOR PHONE:253-833-1248 CONTRACTOR EMAIL:paulb@firesystemswest.com <br /> CONTRACTOR LICENSE#(REQUIRED):FIRESWI 140B1 CITY OF EVERETT BUSINESS LICENSE#(REQUIR ): 022919 <br /> PRIMARY CONTACT: ❑OWNER B CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACTNAME: CONTACT PHONE: 253-833-1248 <br /> Paul Beakman CONTACT EMAIL: paulb@firesystemswest.com <br /> �.W � _ � <br /> i ; tt BUI.LDING<PERMIT APPLI+GA',�10N, s: `' � .�.Y � � ' <br /> � .. <br /> Existin Use of Building:J Contract Price of ork:$ ��� <br /> Proposed Use of Building: Heat Source: ❑Gas ic ❑Other <br /> Buildin T e: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil -#of Units: BCommercial ❑Industrial <br /> T pe of Pro ect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si n BSprinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> Add in-rack sprinklers to new racks. <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> MECHANICAL;pERMIT APPLICATION,; PWMBIN�:P�RMIT APPLICA`1'fON <br /> Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of �]st of Fi�ures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bld ) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other. Clothes Washer Medical Gas <br /> Ran e Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER-/_$URPRESSION SYSTEM ; <br /> water Chemical or Water 478 No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comp/y 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 I 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 Onty <br /> 1 <br /> ����� ; 3/20/17 PE�# - �� - <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br /> � <br />