120 SE EVERETT MALL WAY BLDG 2 2020-02-06

ALARM PERMIT APPLE TION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 i FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMAI ION PROJECT ADDRESS:iZo S U 9.r'TT N1 A(A„„ ',,,fit; (34 ' BUILDING AREA: ')SAO sq ft PROJECT TYPE: PI NEW CONSTRUCTION El ADDITION ❑TENANT IMPROVMENT iraREMODEL BUILDING USE: ❑ SFR El TOWNHOUSE ❑ DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: CI COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ Z pu - — ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: Ll kE �=o �- L- QL f 4 A'1 ©e t 2( fl-c�d��-cam P L - -np ,P- u' A L r A P-04-T D eA d 0 s� ? PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance.Confirm the required items are included by checking the boxes: Che".the boxes below to indicaticate all documents that are being submitted with this permit application: 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑3 Sets of Plans-Must include the following: ❑ L 4 ' VBattery calculations&voltage drop calculations for notification appliance circuits CONTACT INFORMATION OWNER NAME: f O' e?-kc- A '&91Wf j aiiiGecTENANT BUSINESS NAME(If Commercial): 7O, S c(o sf(/i 6 OWNER MAILING ADDRESS: STREET /(!2 3 S— 5 to 44" S-I- cm' CITY tJL L STATE � ZIP 5 'o Y OWNER PHONE: -Z.•p(o - 21 c-;'1 42o OWNER EMAIL: CONTRACTOR NAME: e7A-c-( Ft L i g_e-- 't S e cc' CONTRACTOR ADDRESS: STREET Z% ?b y (444- ?(.... j CITY �j L/� ! L STATE L.— ZIP J p (y L"( CONTRACTOR PHONE:Z,p( - ''VE -3Z a CONTRACTOR EMAIL: Qe 1/[f .(}-Ll E• CONTRACTOR LIC.#(REQUIRED):'pr-L f .F-Fs '/( (i‘y) IF CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 4-(Z j s41 PRIMARY CONTACT: ❑OWNER CONTRACTOR POTHER(Please Specify) CONTACT NAME:, / CONTACT PHONE: -2,.0(7 ^ 39 11 61Z- (,/ l,. Inln CONTACT EMAIL: jz,„0 p�I�T'(/ cap-Li F i G 67��5G-LC1 E (D, AGREEMENT.-I hereby ceftify that I have read and examined this application and know the same to be true and correct. All provisions of laws and 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 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 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 WAC. City of Everett Official Use Only PERMIT#: /5) FA X 9.67 Owner/• .nz-• Stgligure Date (Revised 3/6/2019)