8530 5TH AVE W 2020-08-28 - Laserfiche WebLink

NEN E ALARM PERMIT APPLIATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (f')425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/perrnits PROJECT SITE INFORMATION PROJECT ADDRESS: gd5"3 0 514 l to BUILDING AREA: S r Coe) sq ft PROJECT TYPE: Q NEW CONSTRUCTION ❑ADDITION TENANT 1MPROVMENT 171 REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX ❑ADU MULTI-FAMILY-#OF UNITS: Z°r ❑COMMERCIAL PERMIT INFORMATION &DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ q 5-go,d o ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): a&l'/2i-1 Li 5 DESCRIBE SCOPE OF WORK: Gillt c ete e-Y r rc--Z ger i i - kvieri1 L I iets cog- Li ge`r PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance.Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: i13 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) [B3 Sets of Plans-Must include the following: Tj Location of fire alarm devices El Battery calculations&voltage drop calculations for notification appliance circuits [3 Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: g1�Ep,Gdet S44---7rvs TENANT BUSINESS NAME(If Commercial): '/int 9ER. (s'Lf c. OWNER MAILING ADDRESS: siREET 8r3O S-j' Ave- CITY 61-leg -tr STATE by . ZIP y g ze:jY OWNER PHONE:9 -397- 35 5- OWNER EMAIL: .4.4.146ei q Jen eda.5fwl9•f, co„t,r CONTRACTOR NAME: - /I f t.e(re. ?'i®.14 CONTRACTOR ADDRESS: STREET 36)3 ?rd A-ve N- CITY 5 L->. STATE j ZIP /67°7 C° -CONTRACTOR PHONE:2,6040 Z V-1721 (CONTRACTOR EMAIL: G Y(k ,6) f/tL.e-o 144 CONTRACTOR LIC.#(REQUIRED):notf/f 6747,-/ ? CITY OF EVERETT BUSINESS LIC.#(REQUIRED): e 2.7 AoV 7 -PRIMARY(CONTACT: DOWNER CONTRACTOR []OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Z 4 r 5 9 S_ /7/4 14e- )34-(Zic6/2- CONTACT EMAIL: cri 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#: 62- ,I� Z- / _17-r FA \ 12y-� 6 b1 Owner/Authorized Ag ignature Date 9 (Revised 3/6/2019)