9009 W MALL DR BUILDING 1 2024-02-26

SZE ALARM PERMIT APPLOATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4..XJ"� N �\6 \r \ v\Ve, VK.�j I BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION fX ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: El SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 5 W U0 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):DESCRIBE SCOPE OF WORK: f\`5 ► radio lc.) A ?ACP 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: ❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑ 3 Sets of Plans-Must include the following: ❑ Location of fire alarm devices �/�J� /� �/ C ❑ Battery calculations&voltage drop calculations for notification appliance circuits C/y w`c `Yv' '`-'I ❑ Sequence of operation in either an input/output matrix or narrative form I 1`' (ms� 14 CONTACT INFORMATION �' OWNER NAME: \t.)011'lO I lX `O /' K. TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: 1 STREET no ow L)oo O x/^12' 71 , CITY �.C llL STATE L1,R ZIP "'6 v 1",J`-' OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: G um-6 St,CuO J s ern CONTRACTOR ADDRESS: STREET L14L ? 1s+- - rn1 CITY se w. STATE \M 11 ZIP l rJ, LI CONTRACTOR PHONE: -_x L H77 d -1 CONTRACTOR EMAIL: eW _Ac V (71`, a1 C S Ai qiCi.)re CONTRACTOR LIC.#(REQUIRED): ��l,�a1U,�JZ�3V- CITY OF EVERETT BUSINESS'L)IC.#(REQUIRED): ©�� PRIMARY CONTACT: DOWNER CONTRACTOR ❑OTHER(Please Specify) ram, CONTACT 1NAME: {,, c CONTACT PHONE: .1ck), IQ22 ✓US €xc 2 E E11 r7 1 r l �`� CONTACT EMAIL: �- SVAJLf(y-(:) AICL1 ICV -` v�. W 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#: L'H o\ /OLS 26 FA)-t \ tplei Owner/Authorized Agent Signatur Date (Revised 3/6/2019)