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0-1E ALARM PERMIT APPLSATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASH N GTON (P)425-257-8810 FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: (601 Fk\UQ,c \o.Q. O Q\ BUILDING AREA: \I\ sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION 7 TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: Q COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $ f,5Oc7 ASSOCIATED ELECTRICAL PERMIT# (REQUIRED): 2 <br /> DESCRIBE SCOPE OF WORK: " ...wSlc0.�� � cTCGCeS�a�O� cAcy Q\o,c \ 5TAem \ ve R\p..CP <br /> \ o c\o S Ae_n. \ Jc Q a\o.v m V\ \\ea3-Coi\ Cove,Co�e c s -V 5cick.ce <br /> \axi©v,rlr. J <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 /> 0 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> © 3 Sets of Plans-Must include the following: <br /> 7 Location of fire alarm devices <br /> DI 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: ArtyDco,cokm 'sex\ \CR C TENANT BUSINESS NAME (If Commercial): ri14J/L� p <br /> OWNER MAILING ADDRESS: STREET 1.\\() .\tacc(,,/ POt <br /> CITY `3C0>AW STATE W ZIP 13 `Wa <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: (j\ep, t\ ,r\CG �►(1C <br /> CONTRACTOR ADDRESS: STREET `3xn `9JQ,S�(1\\ �(J(� KU� 5 �� <br /> CITY N s STATE .X ZIP O ZJ <br /> CONTRACTOR PHONE:L 1 VI • \O05 CONTRACTOR EMAIL: 10xe,S D\^-De t\e,,\C.CAC\C.,n2A <br /> CONTRACTOR LIC.#(REQUIRED): l'`)LS Oet:Sr43\Q CITY OF EVERETT BUSINESS LIC.#(REQUIRED): (:),./\(o\Z`a <br /> PRIMARY CONTACT: OWNER .CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (i '-+1 a \Q <br /> 1Q,c�\S `G1`( rt CONTACT EMAIL: \cxxcvS�. ®ev�x-1 L (�, 0r\2A <br /> AGREEMENT: I hereby certify <br /> 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 /> WA C. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> �C— -7 FA (9o�- <br /> boa <br /> Owner/Authorized Ag n Ignature Date (Revised 3/6/2019) <br />