3623 HOYT AVE 1-3 2020-06-17 - Laserfiche WebLink

Orm" FG IRE ALARM PERMIT APPLI i--"="=Li ION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www everettwa gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: q1/-)1?‘''' . L I e.... E.Jef *a . jA)1 9;X) BUILDING AREA: I 600 ' sq ft PROJECT TYPE: NEIN CONSTRUCTION 0 ADDITION 0 TENANT IMPROVMENT 0 REMODEL BUILDING USE: PERMIT INFORMATION 8, DESCRIPTION OF WORK , ', ' - • ' CONTRACT PRICE OF WORK:$ 7, 600 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: -1TA6} klor\. ar c-A- (\_e_.1.i) Ici`j fp, ez,Pa-riv\ r-(s=1-€.4%1 PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance. Chec the boxes below to indicaticate all documents that are being submitted with this permit application: f3 ets of Plans showing location of fire alarm devices o 3 Sets of Specifications for the Devices to be installed CONTACT INFORMATION - OWNER NAME: SLLIt Ntker S;GI i'll.._ TENANT BUSINESS NAME(If Commercial): . .,,(\k,A. r--ps-bi3ec--Re.3 OWNER MAILING ADDRESS: STREET 3CD'A.3 kV\AA-110Q cm, eief-A-11 STATE OA ZIP 6ra24 I OWNER PHONE: (503) —n-: -.-TOdC) OWNER EMAIL: 5ders,ciiiq 3•CCO Ct a...kr)°, cz-An, CONTRACTOR NAME: (o75C.a-CIA... (jecA-C,`Ca-1 c, _))k,...3- O(Vi LA..-C___ CONTRACTOR ADDRESS: STREET I 5 3-% -0-k-,....-K_. 'Plek.ce Li) CITY L-1/1(1t./ 0(1 STATE ELA ZIP q joy 7 . , CONTRACTOR PHONE (4-)Nb)4-ci313(.704-.CONTRACTOR EMAIL: Cc ci-•-•''' t_ c-c,ck(A------ Otp1.cf "1;5 -.- CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQU ifi.14 . . PRIMARY CONTACT: DOWNER CONTRACTOR 0 OTHER(Please Specify) '4ii 4 q b CONTACT NAME: CONTACT PHONE: (360) al.C1D,,P- D12-0-A-De8tvai\ CONTACT EMAIL: cle.0tr\-\0c0_5ca.ci,-c-c-501,,a--;-c,ri,5, CC_YI, 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 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 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 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 WAC. City of Everett Official Use Only • PERMIT#: , FA \ Cit 02- (00 Owner/AulKze.Agent Signature Date (Revised 1/11/2019) 11