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11.171 FIRE ALARM PERMIT APPLTCATION <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 I(E)everetteps@everettwa.gov I www,everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:2802 HOYT AVE, EVERETT, WA 98201 BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR El TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: V COMMERCIAL <br /> PERMIT INFORMATION &.DESCRIPTION,OF WORK <br /> CONTRACT PRICE OF WORK:$2,378 ASSOCIATED ELECTRICAL PERMIT tt(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> REPLACE EXISTING FIRE ALARM CONTROL PANEL <br /> PLAN N 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 ail 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 /> 7/''''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: ELKS LODGE B POE 479 TENANT BUSINESS NAME(If Commercial): LIBRARY PLACE <br /> OWNER MAILING ADDRESS: STREET SOUTH STACK <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: SMITH FIRE SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 1106 54TH AVE EAST <br /> CITY TACOMA STATE WA ZIP 98424 <br /> CONTRACTOR PHONE: 253-248-2000 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): SMITH FS861 RS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 23577 <br /> PRIMARY CONTACT: DOWNER I✓CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-248-2364 <br /> SARAH BUCHER CONTACT EMAIL: SBUCHER@SMITHFIRE.COM <br /> AGREEMENT:t hereby certify that l 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 /> Digitally signed by PERMIT#: <br /> Sarah Sarah Bucher Bucher Date. 200.05 <br /> 113.3625-0700'$ 5/28/20 FA ZCZ3 - COg <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) ` )f / <br />