120 SE EVERETT MALL WAY BLDG 4 2020-02-06

mil F E ALARM PERMIT APPLM—TION EVERETT 32CITY OF EVERETT PERMIT SERVICES ' 00 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:j70 SE- -,Ue-Q "f c NIA IL ...-1"A'"( C3 1.--C) L( BUILDING AREA: ')-S-6.0 sq ft PROJECT TYPE rl NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT i REMODEL BUILDING USE: ❑ SFR El TOWNHOUSE El DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: 11 COMMERCIAL PERMIT INFORMATION& DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ "Z5'pc.> . — ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): --- DESCRIBE SCOPE OF WORK: LA�E Fo LA v..LsPC.1 -G� 4 A-(.- D -i e-- : AtA-c-0— 2�-a) e- L - Pr-DP P- >�( AOAAA e-04T1'6-O e G(0 Se %.,,\ l 1- ` ro 1..- Thi" 4 0--(„) 'ft-r✓ 2 L - 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: Checkhe boxes below to indicaticate all documents that are being submitted with this permit application: v3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) El 3 Sets of Plans-Must include the following: ❑ L Vattery calculations&voltage drop calculations for notification appliance circuits I. -= - --_ - - - . •ui. 1.. . . . •- z••• 0 A CONTACT INFORMATION OWNER NAME: ftMec-,C/%A movie- 5-61.-Q C.eCc..TENANT BUSINESS NAME(If Commercial): f 70,4 S L-d$f 17 6 OWNER MAILING ADDRESS: STREET /((2- 3 S- SE 6,4c Si-- CITY ?e-LL, 1.14 L-' STATE ZIP jam? do 5 OWNER PHONE: Z-b(o .- 2-1 S--- Ci-1 tel) OWNER EMAIL: CONTRACTOR NAME: l A'C-( n L I �e-- ct' S' c / g_(--(---e r CONTRACTOR ADDRESS: STREET Z--% ?t1 t.,0---(1.-- ?L > - CITY C%/9-IT-L,e STATE i.-' ZIP 9 2 (y-' CONTRACTOR PHONE:-Z,0 Co -7/-i -3z(z, CONTRACTOR EMAIL: (t,..,0 Q e 6t--\./( p.4-C..( M lc Fr 5 F Gu g (1'r -Ci\ CONTRACTOR LIC.#(REQUIRED):( pr-c, f .F-f 5 7 J y m f CITY OF EVERETT BUSINESS LIC.#(REQUIRED): G(Z/ 5.-CI PRIMARY CONTACT: DOWNER ZCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:, + CONTACT PHONE: -2_0(039 / r "2 ,116-12-1— (//4-t N?' In./s, CONTACT EMAIL: lac-)w e-Q-.-r.(jet_ . Pt-G((�(GiiCSG LC1z (T`'/-c AGREEMENT.•l hereby celtify 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/comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: --',/ 7/2 FA igoi- ply Owner/ nz nature Date (Revised 3/6/2019) . 4