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FIRE ALARM PERMIT APPLik.HTION <br /> EVERETT CITY 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.everettwagov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:840 N Broadway Bldg A Floor 1&3 BUILDING AREA: 900 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$3500.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E1905-023 <br /> DESCRIBE SCOPE OF WORK: <br /> Relocating (2) existing wall mount horn/strobe devices into a new wall on first floor, and relocating (1)existing ceiling mount <br /> horn/strobe device into a new wall on the 3rd floor. <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 /> NI3 Sets of Plans-Must include the following: <br /> xi Location of fire alarm devices <br /> M Battery calculations&voltage drop calculations for notification appliance circuits <br /> 7 Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT BUSINESS NAME(If Commercial): HCS <br /> OWNER MAILING ADDRESS: STREET840 N. Broadway Floor 3 <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Pro-Tech Electric, Inc. <br /> CONTRACTOR ADDRESS: STREET 1 126 Bonneville Ave <br /> c,TY Snohomish STATE WA ZIP 98290 <br /> CONTRACTOR PHONE:425.334.9844 CONTRACTOR EMAIL:Tbentem©pro-techelectric.com <br /> CONTRACTOR LIC.#(REQUIRED):PROTETE934JC CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055041 <br /> PRIMARY CONTACT: DOWNER ['CONTRACTOR [OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.334.9844 <br /> Office-Taylor CONTACT EMAIL:Tbentem@pro-techelectric.com <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 /> L5�a.� lc! FA \`)V; <br /> OwnerlAuthorized Agent Signature Date (Revised 3/6/2019) <br />