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4IRE 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 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> a ` a ;.: " I F Z t iT tgRn'rcn AMll rn . .. C' 5 = .. d S • <br /> PROJECT ADDRESS: v30-I SE 'Vey-e4 MCT way BUILDING AREA: sq ft <br /> PROJECT TYPE: El NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT El REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: 17 COMMERCIAL <br /> Pr <br /> syr �` PSE'it�l�fl INFORMA ION�+Br D SCRIPT ON'OP"WORK,�'���IN �t ,I, I e <br /> J� (��wxt a�t� ��a,.� `" xx a� I n�i.�� �,Y-�.�y, � , .. i ��, �&kvwk�, �..�,..�., �c�z,s u .. ��,ti �,.� ��...� �a t n w c F ` <br /> CONTRACT PRICE OF WORK:$ 500.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: nStQ I I C) !}ES ra 10 '1 () Yr10V1.t'-KY re c y S-�-eXvl <br /> fs \M 11 be 0C 0.4 \roam' <br /> N N„i , r.,r> OINTIM P AN IEW ROOIREMENT ri win•_,; r Iry4"> IZO <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 /> CS 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> C6 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 /> El Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFO`RMATiON ,°_�.:...... urrNl.r... <br /> OWNER NAME: Doug 15 Bean ASSOC.ie EIQANT BUSINESS NAME(If Commercial): AIOkca n"r CAdC C l"t3 <br /> OWNER MAILING ADDRESS: STREET t IDS C) N W N O 11 PO►YWAY Slit {�JA 3 <br /> CITY POI(tO Vl A STATE 012-- zip ol'i2..O <br /> OWNER PHONE: 503X22 6 10O OWNER EMAIL: \Claves(9 ot pug ifxaYi•corn <br /> CONTRACTOR NAME: Cl yard l a vi Secwity Sy seems <br /> CONTRACTOR ADDRESS: STREET 174' \St A I-e S• <br /> CITY Sea. 1 VL STATE •V` + ZIP 6M.1-4 <br /> CONTRACTOR PHONE: P112 ,�,I5j CONTRACTOR� EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): Ci\.1 5 9 1/`SSZ'y✓7 kS CITY OF EVERETT BUSINESS LIC.#(REQUIRED):.ottnO'34U J <br /> v �✓�" n,.,.. u�.,-,. lidk .ui,"., o,"k'�,„,?.. _ <br /> X2'�'+-. <br /> PRIMARY CONTACT: DOWNER NICONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NA <br /> 1 ,ME: �, CONTACT PHONE: 9_,R,99_,R,9 — 1022- (0G�L4 - 2c-r 2'l <br /> L 1i (.FJk\1 t SI CONTACT EMAIL: j y q V fid ) c.et 9 •1(jYYL <br /> AGREEMENT::1 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 /> q�,f'/,, 0(010(0/m FA \ `to(, - doZ <br /> Owner/Authorized gent Signature Date (Revised 3/6/2019) <br />