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01111011,-4BUILDING / MECHANICAL/ PLUMBINGPERMITAPPLIC <br /> /ATIONSIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1620 75th St. Sw PROPERTY TAX#:0189779 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT BUSINESS NAME(Commercial): Alpine Cleaning&Restoration Inc. <br /> OWNER MAILING ADDRESS: STREET 1620 75th St SW Suite A <br /> c;.-, Everett STATE WA LP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Viking Automatic Sprinkler <br /> CONTRACTOR ADDRESS: STREET 3434 1St Ave S <br /> cin Seattle STATE WA z p 98134 <br /> CONTRACTOR PHONE:(206)622-4656 CONTRACTOR EMAIL:gary.coltes@vikingsprinkler.net <br /> CONTRACTOR LICENSE#(REQUIRED):VIKINAS373NT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024704 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(206)622-4656 <br /> Gary Coltes CONTACT EMAIL:gary.coltes@vikingsprinkler.net <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial Contract Price of Work:$3500.00 <br /> Proposed Use of Building:Commercial Heat Source: ©Gas DElectric (]Other <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ZCommercial LAccessory Structure <br /> Type of Project: LNew DAddition DRemodel DRepair DTI. ❑Sign tJSprinkler . ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Modify existing system to provide proper protection below mezzanine. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture Fixture <br /> Count Count List of Fixtures Count List of Fixtures List of Fixtures <br /> Count <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/VWater Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log . Roof Drains Water Heater <br /> SPRINKLER/SUPPPESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System 7 No.of Heads <br /> Chemical Suppression System ii No.of Heads <br /> ACKNOWLEDGEMENT.l have reviewerthis 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 g�of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Off/c/a/before being authorized under any circumstance.t am the owner ort 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 ROW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ,. PER # <br /> — 3128/19 �C 01_ O� <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />