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RE ALARM PERMIT APPLI4TION <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 I(E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> . PROJECT SITE INFORMATION ; <br /> PROJECT ADDRESS:j7o Sct✓v jr Ljr-r l'n} F j ($ /9 BUILDING AREA: )S64j sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION ❑TENANT IMPROVMENT ,{REMODEL <br /> BUILDING USE: ❑ SFR El TOWNHOUSE ❑ DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: Igt COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ '2- c ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: LA�€ Fo L-' �C-Is P( {�G�µE/lT D r <br /> pitiAtc4v- P h L A-D D c,) /I(-OA,4 441-0 i d o S1/4) <br /> •Va- re fog— Terr 4 0-w f t}-/✓ <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 /> Chec 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• •. • . . . t [h <br /> VBattery calculations&voltage drop calculations for notification appliance circuits <br /> _ _ - -• • •ur. .• . _ . •• - u .4,1A <br /> CONTACT INFORMATION �S <br /> OWNER NAME: / O' --\CFrA $itWher SLI--UIGe>TENANT BUSINESS NAME(If Commercial): f A. TO4 S J„2a Sf/, 6 <br /> OWNER MAILING ADDRESS: STREET /(Z 3 S— 5am 624c 5 i y� <br /> CITY `i?e-(.4 E I/(„ L•i STATE LA401' ZIP b e0,-( <br /> OWNER PHONE: Z.)(n •- 2I S- 4/0 OWNER EMAIL: <br /> CONTRACTOR NAME: ( e(L S G t <br /> CONTRACTOR ADDRESS: STREET --?> ?Z) ,� ( jL}—((— ?( -. 5 - [� <br /> CITY fj L'A —L STATE ZIP J n q <br /> ('1''( <br /> CONTRACTOR PHONE:7,,p W -7'E '33 a CONTRACTOR EMAIL: Rio e{ \1(T' Q,4-C(c Ir, r(�s 5 E g ('T'( -4w‘ <br /> CONTRACTOR LIC.#(REQUIRED): Fps ?( (.f 6y1 F CITY OF EVERETT BUSINESS LIC.#(REQUIRED): -/Z I s-ti <br /> PRIMARY CONTACT: DOWNER )CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: -2_0(c, 391 _(I/c y-g <br /> CONTACT EMAIL: <br /> t`�o,�)��� �aJr� Li" 12-0('�C�'T"•tjet_ AA-Glr(� f=a�c"SG—BVI? cry,C.:�� <br /> AGREEMENT:I hereby celtify 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 /> 7/./''� <br /> FA ( 6101 -®® � <br /> Owner/• .r¢-. • .• signature Date (Revised 3/6/2019) /�� <br />