5104 S 2ND AVE 2021-02-23 - Laserfiche WebLink

FIE ALARM PERMIT APPLIOTION EVERETT 32 CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET.EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 ((E)everetteps@everettwa goy I www everettwa gov.�permits PROJECT SITE INFORMATION PROJECT ADDRESS:3 k Q L an� ► 1 (l)" ‘AM FIN ci9j Il ILDING AREA: 1 C.) sq ft PROJECT TYPE: ❑NEW CONSTRUCTION El ADDITION u TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: 3 COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK lt . CONTRACT PRICE OF WORK:$ \lf—- ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E -cbt5• cksi DESCRIBE SCOPE OF WORK: fi 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: VI 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) El 3 Sets of Plans-Must include the following: ❑ Location of fire alarm devices ❑ Battery calculations&voltage drop calculations for notification appliance circuits ❑ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: E.�/ t;�i� \ f")1 bt TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr f t t) CITY STATE tj...N - ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: (� ��C._ C c tM A "D CONTRACTOR ADDRESS: STREET,q{\ C p _ fl�/�_ (E_ CRY Pty.- kik t\C y-, STATE CONTRACTOR PHONE:' t . .16 CONTRACTOR EMAIL:f;IqrtN't C ►.t1 VIA", CONTRACTOR LIC.#(REQUIRED)—fj al* =CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: (DOWNER EikONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: \A �.`� CONTACT PHONE: - U,t.:3 • )`11 CONTACT EMAIL: 1 p‘`j1 (7%C\I�tM .-11 LEA CJ.ArI` .�.Cy1 AGREEMENT. I hereby certify that I have read and examined this application and know the same tb 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 tam 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 Z 3 - OD Own r/Authorized Agent Signature Date (Revised 3/6/2019)