Laserfiche WebLink
• • <br /> FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everelteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION; <br /> PROJECT ADDRESS: '3 3, Dc)u, (�k` �{�_ BUILDING AREA: sq ft <br /> PROJECT TYPE:'NEW CONSTRUCTION ADDITION 0 TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: 0 SFR 0 TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> PERMIT INFORMATION.& DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ Rapp - ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: ---k`O a\C\cc 6J () > ‘t(\c CA) l lcQ,5• <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 /> ❑ 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: TENANT BUSINESS NAME(If Commercial): wCx\\U 6C)(l, :` <br /> OWNER MAILING ADDRESS: STREET <br /> CITY'/�Y.tX v` STATE zip qsR.Li <br /> OWNER PHONEQUc'2S3) ' (�j*- cjiW) OWNER EMAIL: .�� <br /> CONTRACTOR NAME: 'I (' & 6)1 U.,1(\` 3,DIRA 0-` <br /> CONTRACTOR ADDRESS: STREET VI ,V 4\"( <br /> CITY STATE \VIV zip DAl7)'' <br /> CONTRACTOR PHONEOe IJ?1C CONTRACTOR EMAIL:(VM' (r\\)„:\ ' \ Cj L,64dDiol_s pi A`l\3- Cc <br /> CONTRACTOR LIC.#(REQUIRED):4� jjR- v.., j CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) �� �, <br /> CONTACT NAME: y� CONTACT PHONE:C Oi ) pp1C;_JJ'J � 1 <br /> C-���v-/ QJP V0)(Cl Y��� CONTACT EMAIL:Iitfl1C( �tl vv.-- y(( a(�II �A1(1iN\/�fr (AY�tJ�I tor\ <br /> AGREEMENT:I hereby certify that,lave read and examined this application and know fWe same to be'frue 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/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 /> • <br /> X C t t a-6 FA �02 - <br /> 6C(0 <br /> Owner/ ut or g Signature Date (Revised 4/15/2019) <br /> 1 <br />