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I lilE ALARM PERMIT APPLI ;'ATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: V'0•7-2-C' -3E� a�i� sc �)?`.y�(� (BUILDING AREA: _1 Bute sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION LI TENANT IMPROVMENT ,REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE Li DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: 7 COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $ ZSG�> ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): — <br /> DESCRIBE SCOPE OF WORK: Ll Fo f� L�X-� ��1°rc ��,1� 0 <br /> A-t tAc-^^ Er e L L . k I - h) t.J A L GtA A et ) z A do o S� <br /> \ rc C--- T /1 e---L„) E-- <br /> PLAN <br /> PLAN REVIEW REQUIREMENT <br /> Plan review by the Fire Department is required prior to permit issuance. Confirm the required items are included by checking the boxes: <br /> Check the boxes below to indicaticate all documents that are being submitted with this permit application: <br /> 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑ 3 Sets of Plans-Must include the following: <br /> ❑ L•_. • - . . -- .tilva <br /> Battery calculations&voltage drop calculations for notification appliance circuits <br /> 111 - --= .0 ou •l • • . •• .1.( A <br /> CONTACT INFORMATION <br /> OWNER NAME: ft( -kc-A-A $k&p rf S (/(C,t TENANT BUSINESS NAME(If Commercial): rvLTl ' $ t - (.1( <br /> OWNER MAILING ADDRESS: STREET // 2 3 T <br /> CITY IJ�C.L C STATE -���Y ZIP C ? e[!.7 <br /> OWNER PHONE: 7 t c., -- 21 - Cr7 470 OWNER EMAIL: <br /> CONTRACTOR NAME: fAcCt F( S iJ v i <br /> CONTRACTOR ADDRESS: STREET 'Z- ?Z) ? 5 •CITY lj /7' L p STATE �. ZIP cr Q (y Li <br /> CONTRACTOR PHONE:7.0 - 7 "$ '33 a CONTRACTOR EMAIL: 1-to C (C. 5FLU g <br /> CONTRACTOR LIC.#(REQUIRED): rPt-C- ( F r) ?1 01 f CITY OF EVERETT BUSINESS LIC.#(REQUIRED): L(Z / 1 <br /> PRIMARY CONTACT: lOWNER X.CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME:(A:4 CONTACT PHONE: --2,0(r--2,0(r, �� - 39 i (4,7 7 <br /> P-4.4 K-4.4 .r/ CONTACT EMAIL: P /vp " c •lr(L <br /> AGREEMENT:I hereby celtify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority <br /> to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by <br /> 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 296.200 <br /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> FA'r 0 - <br /> Owner/ UetrAgent Signature Date (Revised 3/6/2019) I <br />