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,� W ALARM PERMIT APPLIIITION <br /> EVERETT '`� N CITY OF EVERETT PERMIT SERVICE <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT <br /> �ySITE INFORMATION <br /> PROJECT ADDRESS: 14-o , (I7�BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR n TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $ I I, �t `1 ASSOCIATED ELECTRICAL PERMIT# (REQUIRED):✓RE 1-• -i; t-j I oi��(tY <br /> DESCRIBE SCOPE OF WORK: (� , � � t <br /> re--pi . .�`7f1 J v� <br /> ) ; n <br /> ►�t� .1,(. I 1 v e &Q c Dr►. Y 1 pa..-v e ( , ► bcsi-c-ir �a <br /> v.p-p tt ( &( alkir� .,O-vuo( 55 d�i'c ens . <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 /> N <br /> LLI 'Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> 'V-�/ <br /> LJ Sets of Plans-Must include the following: <br /> 0 Location of fire alarm devices i11,\ ( 1A-A- _1' <br /> 0' Battery calculations&voltage drop calculations for notification appliance circuits O VI a rw1 <br /> Sequence of operation in either an input/output matrix or narrative form ,:y) }{'C., (1 VIA- }Li <br /> CONTACT INFORMATION �j L <br /> OWNER NAME: `7 Yl DYIDryN. `J`1 UU�YI �/ TENANT BUSINESS NAME(If Commercial): kC DOtj& I Flee f1/4-16;1'i <br /> OWNER MAILING ADDRESS: STREET 3bOCD Rotk_r f el I e yr Nit 64166 act ti b <br /> CITY e-v-t' t STATE ACV^ ZIP DC <br /> OWNER PHONE: ` 2-5• 3`dt• 3 to OWNER EMAIL: Q htei ;AV, . rnT7al i•1%.:71."1 <br /> CONTRACTOR NAME: NDr'{ '1 I-3.: YC r l v'v a j <br /> CONTRACTOR ADDRESS: STREET as lv j $3 v2( )tv� <br /> CITY K,fiyt - STATE v.]A ZIP i'1 l3 <br /> CONTRACTOR PHONE: .l.O 14)11 a"t0''N CONTRACTOR EMAIL: Korea( fi.d`Q S IA6.1-€4,0 .Coyy <br /> CONTRACTOR LIC.#(REQUIRED): 1\1.D(LT 1 I=5`i"t c.7 M CITY OF EVERETT BUSINESS LIC.#(REQUIRED): OC} O (414 <br /> `1 •)1C -{- <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: .11 a 9- 5 <br /> CONTACT EMAIL: V Ore_C�(r, ) n t k e -,f&,-v .(c ' <br /> 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 <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 I 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 /> FA 2-co3 i- o°Cc> <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br />