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LI F E ALARM PERMIT APPLI-PION <br /> EVERETT 32CITY OF EVERETT PERMIT SERVICES <br /> 00 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:iza Se- E.Ve.Q- "f1 ,{*r1 yk u, �dt i aL,. G /( BUILDING AREA: )SAA sq ft <br /> PROJECT TYPE: Ill NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT SaREMODEL <br /> BUILDING USE: ❑ SFR El TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: 121 COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ "2-S pv • ..- ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): --- <br /> DESCRIBE SCOPE(OF WORK: Li. ....E. Irp LA r-e P(,.o-GcµEST p �t Z <br /> � g-p-- Ir A-p) IG L Pr-DP Pr t.J A i Cn/t A- 4421-60 0 A C(0 0 s1/4.) ?e- <br /> „,\ r C- roe- r A e-t„) CA-p/ 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 /> Checkhe 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 /> El L 4 p <br /> VBattery calculations&voltage drop calculations for notification appliance circuits <br /> -- - - -. - aura is - - 4,1 A <br /> • <br /> CONTACT INFORMATION <br /> OWNER NAME: ffi(rC'-\CIA fvk i'4 51�.(/{C,e_cTENANT BUSINESS NAME(If Commercial): i`a:7Z),4 S Cl-e$fj4 <br /> OWNER MAILING ADDRESS: STREET /tt 1 3$ 5c Co 4`..- Sr <br /> l� <br /> CITY e-LL,e. I/(„'( «, \�STATE s' ZIP 6 e0 c”( <br /> OWNER PHONE: Zp ka -- 2l S-- Q"'I Cw OWNER EMAIL: <br /> CONTRACTOR NAME: f• i F(C, r( p_.&-- cr 5'ec t-r--- <br /> CONTRACTOR ADDRESS: STREET ti z•----1 p <br /> ?Z) �, (09-(1---• •?(__, j <br /> CITY rj 0-4"17.1e- STATE (...."-IP, ZIP 9' g `y Li <br /> CONTRACTOR PHONE:-7,o(0 -7'Q 2 -3'3(z, CONTRACTOR EMAIL: e.�0 QeHT1/(' P-0-c-(r(C, �i e 5-F. g (1.'1 -c--'A <br /> CONTRACTOR LIC.#(REQUIRED):l'A--Ce f .F•FS el/ (jpii /l CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 41-2-I 5-11 <br /> PRIMARY CONTACT: DOWNER jgCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME:, CONTACT PHONE: -7,0(23Q l _cit Le l <br /> n <br /> K-0,11 g-T- (i'/-1 h L� CONTACT EMAIL: ]c,C,g i g....�".(jet_ ?pro F(G f=b1CSG Lu E (D/,C-Ok- <br /> AGREEMENT:I hereby cettify 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 /> c4, '')/ <br /> _ �, ..) FA lit 7 ®®q <br /> Owner/•Art'.nz•. •• nature Date (Revised 3/6/2019) <br /> (I-I <br />