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IRE ALARM PERMIT APPLICATION <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 /> Z I TOJEC'IITEINOMATION " Xa <br /> zap �= f� �s' ' :���s,�u�t -�,s. ,�,��::.. � � ��� - <br /> PROJECT ADDRESS: `2` S� eve ACU., \IJOIy S e BUILDING AREA: sq ft <br /> PROJECT TYPE: El NEW CONSTRUCTION ❑ADDITION El TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> n PERMIT iN ORMi�T ON DESCR�PT10 ORK RA n y ryY� 7 ,�� <br /> `� r�H z W�,. ya4 t qS:,A <br /> CONTRACT PRICE OF WORK:$ SOO. 00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE <br /> EEUSCOPE OF WORK: \n cka11 pES YOO"O 10 mon) -or KI-M9 <br /> rflV� - <br /> Y �Pf4N REVIEW RE VIREMEN7' __ EEEE �' A I <br /> :�-..��.'c�� -s.���� -_��. �'� ,-�:,-.t- ?:�.,�ry a_�„`�.,r s,a„F.�,�„... __. � .. :: `` ,v `�,>..-�_�;�.v :a;vrru..:.�;. �_. .ter:' <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 the boxes below to indicaticate all documents that are being submitted with this permit application: <br /> El 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 Location of fire alarm devices <br /> El Battery calculations&voltage drop calculations for notification appliance circuits <br /> ❑ Sequence of operation in either an input/output matrix or narrative form <br /> 1#1CONTACT INFORMATIOI�1 <br /> OWNER NAME: em"kt MQ. (,� _ rl TENANT BUSINESS NAME(If <br /> �'�at0 Cu1�l ��e�Xilt,,����'{CACL�A' (� Commerci 1 n�I�V�.'C{[�� �1 <br /> OWNER MAILING ADDRESS:_ STREET ttO O t \N 1�OX \& a� .S6-vi sox <br /> ' <br /> CITY T Vy-nd STATE at, Vv�ZIP • �•ts <br /> OWNER PHONE: J/Z:0 .9...2.#2....45100 OWNER EMAIL: 01OI,.V r d1M3NecaY) • Cb lr 1 <br /> CONTRACTOR NAME: avardicul Kum-4 cleth <br /> CONTRACTOR ADDRESS: STREET \ <br /> \s--tQ, C . <br /> CITY Q/\ 33 STATE \/-IT ZIP 61 4?)\734 <br /> CONTRACTOR PHONE: --102.°2.... 0US CONTRACTOR EMAIL: exiciur9U AIOecum=r4 .COrii <br /> CONTRACTOR LIC.#(REQUIRED):CVf "DSC279 69 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): D'31)`7`.- <br /> " <br /> . <br /> ` REMVS - r. ��rf"� , .4 �t =_ sfir; . M ., frmA ' n _ � & a w �?�3 .= apag, <br /> PRIMARY <br /> CONTACT: ❑OWNERICONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 9_00—(oVi (pa C c Eli <br /> 1Jt`\NA <br /> \, 1',1 S CONTACT EMAIL: enSt' <br /> ` I.R,I' 60-4i /Clickn et(„(, 1t11.CO <br /> AGREEMENT:I hereby certify 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#: <br /> bq I'M) 1 l l FA ctoS -GCS <br /> Owner/ Agent I nature Date (Revised <br /> 9 9 3/6/2019) <br />