Laserfiche WebLink
Ii I IRE ALARM PERMIT APPIi_;`,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 I(E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: (01-2-C 74 4 cmc (BUILDING AREA:_) sq ft _ <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ]ADDITION -7 TENANT IMPROVMENT ,{.REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: /l COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ 'Z . ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): -- <br /> DESCRIBE SCOPE OF WORK: Lt kE F Ll t_ t ` �`l� t" <br /> 'At q- $ L . p :'r = A <br /> fes, -- 'T '" /1 i�-t,.; 'A ,✓ r=- <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 /> El 3 Sets of Plans-Must include the following: <br /> ❑ Lo-- . • - , -- ,ti (A <br /> Battery calculations&voltage drop calculations for notification appliance circuits <br /> El Sequence-ef op: _ _• - - - - .u i ou .. . - . - ia#ive-fermi .L( A <br /> CONTACT INFORMATION <br /> OWNER NAME: f)-C\l tC t�A i�( la`' j�'�.1.'iC.L TENANT BUSINESS NAME(If Commercial): fvC(en-$ lir'Q(,l C; <br /> OWNER MAILING ADDRESS: STREET j( 2- 3 <br /> CITY 1.)e LZ E 1.14(" STATE c t ZIP %'z? <br /> OWNER PHONE: Z L Com, ... OWNER EMAIL: <br /> CONTRACTOR NAME: T'-C-1 E(L. i I TI r <br /> CONTRACTOR ADDRESS: STREET O d ( ? <br /> }moi , . <br /> CITY Cj f - 4 STATE t- 2s+ ZIP Cr ( y LI <br /> CONTRACTOR PHONE: ? <br /> �o( -- 7 � �6 ',C(1, CONTRACTOR EMAIL: g'T r lL- r't 1'� jl F Lam' (� <br /> CONTRACTOR LIC.#(REQUIRED): ( PrC, ( F F5 71 C1(Vt AF CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Z / 5''! <br /> PRIMARY CONTACT: [OWNER CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: "2vL j c/ 1 _ ,: y <br /> C� f :, - <br /> K-C .-7g.-.1" ( i-1 Jr^ I�v� CONTACT EMAIL: iL,c,( � 1/♦ �Pr( = C r n <br /> AGREEMENT:I hereby ceItify that/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 /> // I FA t- Doq <br /> Owner/• onzed-Agent Signature Date /i 1 <br /> (Revised 3/6/2019) , <br /> i fir <br />