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LI F E ALARM PERMIT APPLI -PION <br /> E V E R E T TCITY 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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:jZo SC E UER-E T isn IA U wet-it .3 6 6 BUILDING AREA: �gee) sq ft <br /> PROJECT TYPE: Li NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT /REMODEL <br /> BUILDING USE: ❑ SFR El TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: /R COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ 'Z5'o ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): --- <br /> DESCRIBE SCOPE OF WORK: jrlkE. Fj c-- Llv-e R- PL c,-.,e....,nr1Q . r-IIZ4--,- <br /> -A-L M--0- P Pr e L Pr-DD Pr ikJ( c.J A L InA A 44,1'0 O e A c:(o S ) ?-- <br /> <si\ tA''-re roe- Th A 0--(„) CA-7,1 EL, <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 he 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 4 p <br /> VBattery calculations&voltage drop calculations for notification appliance circuits <br /> ■ - - -_ - --: - -. - . •uf.>„•l . . - _ •• ,t(A <br /> CONTACT INFORMATION <br /> OWNER NAME: pro,e?-lCfA frk(,Ml- 5 CriijC,ecc.TENANT BUSINESS NAME(If Commercial): f 7"b,S CO.--d S1-j, 6 <br /> OWNER MAILING ADDRESS: STREET /(2- 3 ,S. 5c a`k" S i <br /> CITY "36-l-L,E. 1A4& STATE LA.P3— ZIP ?� d0 Y <br /> OWNER PHONE: Zt!(p •- 2l Q'l ('U OWNER EMAIL: <br /> CONTRACTOR NAME: ?Pr(-( el c, r.--, I-e- c(- 'u-c g_( -r-.; <br /> CONTRACTOR ADDRESS: STREET 'l 4z----7:5 (i)D 4 (.43r-F--- f C—.. 5 - <br /> CITY L 4--Le- STATE („,-...- ZIP9. p q <br /> (t,/ <br /> CONTRACTOR PHONE:7-0W 7'E -3?(% CONTRACTOR EMAIL: R.0 i3e Je e"4--C-t c ic, �t e 5 E I . (1?-1 - - ' <br /> CONTRACTOR LIC.#(REQUIRED):r f C- I .F'F S ?I (j iYI F CITY OF EVERETT BUSINESS LIC.#(REQUIRED): L(2( $'1 <br /> PRIMARY CONTACT: DOWNER ! CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: -2_0(a(a , 39 / —(-0 -L <br /> 2.-0,116-g...1-- b.J t.6c' !r CONTACT EMAIL: J77,V 1ge--g_'T'v et_ ?A-GI F(G 1 ESG Lu le (TY c- <br /> AGREEMENT:I hereby cettify 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 l� #: <br /> �� ->/ <br /> FA ( q07 0(3 <br /> Owner/• .rlfii' z - •nature Date (Revised 3/6/2019) <br /> 1Zi <br />