1422 112TH ST SW SEATTLE VISION CHURCH 2025-01-23

1.. FIRE SPRESSION PERMIT APPLPATION 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1422 112th Street SW PARCEL#: 00442900400800 c,T.r Everett STATE WA ZIP 98204 SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION:Kitchen TENANT/BUSINESS NAME(if non-residential):Seattloe Vision Church CONTACT INFORMATION OWNER NAME:Seattle Vision Church OWNER MAILING ADDRESS: STREET 1422 122th Street CITY Everett STATE WA ZIP 98204 OWNER PHONE:2068162864 OWNER EMAIL:kkim1957@gmail.com CONTRACTOR COMPANY NAME:AleXander Gow Fire WA STATE CONTRACTOR LICENSE#(REQUIRED):ALEXAGF835QB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050029 CONTRACTOR ADDRESS: 5TREET1436 NW 3rd Street C11-,, Seattle STATE WA ZIP 981 07 CONTRACTOR PHONE:(206)632-281 0 CONTRACTOR EMAIL:dwall@gowfire.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2064828858 Darin Wall CONTACT EMAIL:dwall@gowfire.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $6000 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: Install Range Guard/Kidde Fire Suppression system into kitchen hood TYPE OF INSTALLATION: ✓❑New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: Water Suppression System-#of Heads: ❑✓Chemical Suppression System-#of Heads:6 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: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.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 PERMIT# ,,,,5/2022 K 2 I J 0 0 1 Owner/Au •orize A gent Signature Date (Revised 2/8/2021) Vor