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3327 RUCKER AVE 2020-04-02
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3327 RUCKER AVE 2020-04-02
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Last modified
4/2/2020 11:46:47 AM
Creation date
4/2/2020 11:46:21 AM
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Address Document
Street Name
RUCKER AVE
Street Number
3327
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Esma <br /> RE ALARM PERMIT APPL.4AT!ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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: ))2 tkvG; Fit : ;'• BUILDING AREA: 7 2 I'0' sq ft <br /> PROJECT TYPE: 0 NEW CONSTRUCTION 0 ADDITION D TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: 0 SFR 0 TOWNHOUSE 0 DUPLEX 0 ADU Q MULTI-FAMILY-#OF UNITS: I5` ❑ COMMERCIAL <br /> PERMIT.INFORMATION;8, DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ jO. 't,S9 ` ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: kc,picyk: 0 EO Nt fo_ bay,t , 5+4 tic) klonf, ./170-2viie y'14147 <br /> `e.f➢f.. z:xicS+; i�c �J1'c'. Pv; Ce5 <br /> 1 eu.Iy 42 - pvilS){�j -Syne,ice j Li - lea4 f,Sir=, mg/h hifrn.5 <br /> fie.0 7YI.e44- k1: Ste. � RG W,l P.' ex 1S y';I+ej C�v Shat Y?U l <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 the 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 /> 0 3 Sets of Plans-Must include the following: <br /> ❑ Location of fire alarm devices <br /> ❑ Battery calculations&voltage drop calculations for notification appliance circuits <br /> • Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFORMATION <br /> OWNER NAME: L,ve, 4±. yi7 4 0'1`horrtL' TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET P,e;, 60x: /cc-f <br /> CITY E tk-J 4-'t STATE \Ai A ZIP [D N' <br /> OWNER PHONE: Z4-"•303 •-112. OWNER EMAIL: Rct,• t• � Ii e V�'1Ctr 0:'Yd' <br /> CONTRACTOR NAME: JaWieS ��>I�(rTrt`G <br /> CONTRACTOR ADDRESS: STREET 2 rJ I Si G (a nCi Q <br /> CITY �' 1��,t'I✓'' ?- STATE WA ZIP 1 iJ 2-(? I <br /> CONTRACTOR PHONE:1-(1, --3 j 5 —3 31 CONTRACTOR EMAIL: j/jte-('ttvrS7 Q C f char f i„.C...49)1 <br /> CONTRACTOR LIC.#(REQUIRED): .C,JuYvbCSC, 3I K.i' CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 1 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: `i 2—, �5 -s,:s 9 <br /> vArYte/S i CONTACT EMAIL:• <br /> . .I <br /> AGREEMENT:/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 /> Y , o rn >i - � l FA L ® O04 <br /> Owner/14 thorized Agent Signature Date (Revised 4/15/2019) 112 1 <br />
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