Laserfiche WebLink
E ALARM PERMIT APPLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <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 SITE INFORMATION <br /> PROJECT ADDRESS:840 N Broadway Bldg A 2nd Floor BUILDING AREA: 3360 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: El SFR El TOWNHOUSE ❑ DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: ' � CO RCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WOR <br /> CONTRACT PRICE OF WORK:$1500.00 ASSOCIATED ELECTRICAL PERMIT#(R UIRED):E1907-124 <br /> DESCRIBE SCOPE OF WORK: <br /> Relocating (3) horn strobes to accommodate new tenant layout. <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 /> El 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑3 Sets of Plans-Must include the following: <br /> El Location of fire alarm devices <br /> El 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: TENANT BUSINESS NAME(If Commercial): Dept. Of CSO <br /> OWNER MAILING ADDRESS: STREET 840 N Broadway Bldg A 2nd Floor <br /> cny Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Pro-Tech Electric, Inc. <br /> CONTRACTOR ADDRESS: STREET 1126 Bonneville Ave <br /> CRY Snohomish STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425.334.9844 CONTRACTOR EMAIL:Tbentem@pro-techelectric.com <br /> CONTRACTOR LIC.#(REQUIRED):PROTETE934JC CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055041 <br /> PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ElOTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.334.9844 <br /> Taylor CONTACT EMAIL:Tbentem@pro-techelectric.com <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)/%47(,(7fil —7 7 �� FA \9 o- - ot� <br /> Owner/Authorized Agent Signature D to (Revised 3/6/2019) f <br /> f - <br />