9009 W MALL DR BUILDING 24 2021-03-30

mow OOZE ALARM PERMIT APPLiATION V E R E T T 32 CITY OF EVERETT PERMIT SERVICES 00 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: CMQCAA 1 J\ Kk\\ C)YIVt 4 2U BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION E.A.ADDITION ❑TENANT IMPROVMENT El REMODEL BUILDING USE: El SFR El TOWNHOUSE ❑ DUPLEX El ADU Cl MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL PERMIT RMIINFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 500. 00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: \nSv&.\\ voles mow A ,)-10( MCP 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: El 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 ❑ 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: `,nlY)C ?UV-- MS TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET (100°11 \I/• Mal\ Ov1ve- CITY FV-elam✓ STATE 0a ZIP `1 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C1\ic YOI an Zs-c L SVoM S CONTRACTOR ADDRESS: STREET 1// Ave-- S.. 4� G iy CITY STATE ! V\ ZIP ` �1 CONTRACTOR PHONE:2D(P 1O L2 . -,1 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): Ciu occ)2 c 3\<_S CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ?j3 PRIMARY CONTACT: LIOWNER OkCONTRACTOR ['OTHER(Please Specify) CONTACT NAME: ^ CONTACT PHONE: � - (ZZ- �p L) ex-k '211 E'i rye 1 ' S��.� CONTACT EMAIL: C 1c (G9- C \r (un S u i\.C, AGREEMENT:I hereby certify that 1 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#: DTI FA 2co2 - 0 l 0 Owner/Aut rized Agent Signat a Date (Revised 3/6/2019) L/ 1