9009 W MALL DR BUILDING 26 2021-03-30

NMI LINE E ALARM PERMIT APPL\TION 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 �pp Ia PROJECT ADDRESS: (IVA \ J S\ �a'\ )\i fa la -1O BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION EZ ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: El SFR ❑TOWNHOUSE El DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 500. 00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: \fl k\\ Y ,i�% S '�jj vrtm-t tX` 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: 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: \--‘kelrg\ 'O\Y s TENANT�n BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET \"VD 1 vv. \ O 1"J\ O V /� CITY -Ve*t- STATE VV A ZIP "t' OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C1VaYc an c c,�y ky $�S 1 '- CONTRACTOR ADDRESS: STREET f^�U ! ISfi AV-e- S. V v 1 1 CnYvl �i STATE ! ZIP G`,31 r kl CONTRACTOR PHONE:(a Z2 t l.,M—CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): C'lUPW—OS52,957D 1C'S CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 3 3 43 PRIMARY CONTACT: DOWNER Y.1CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: `2_0 j—t 2 _ (.0r3I,IG3 „e x,r ZTi O-ekh FONA CONTACT EMAIL: Co x C, /)I`)� I GLh ce •C Don AGREEMENT:l hereby certify that I have read and examined this application and know the same to-be true and correct. All provisions 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#: 'ft o*g12- FA /002 — OO Owner/ t orized Agent ature Date (Revised 3/6/2019)