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EVERETT WASHINGTON F@E ALARM PERMIT APPLIOTION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 i FAX 425.257-8857 1 (E) everetteps@everettwa.gov I wvuw.evereltwa.gov/permits PROJECT SITE INFORMATION:.:.::::.::..::.:.:..:,..:;:;::::•.::':::.;::::.:.::..:...:::::.::::::::::::;::.: PROJECT ADDRESS:1700 13th St BWLDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ❑✓ COMMERCIAL PER MIT.INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $23,382.00 ASSOCIATED ELECTRICAL PERMIT # (REQUIRED):�2MfF� tE2009�-06JO DESCRIBE SCOPE OF WORK: Modify existing Fire Alarm system adding 22 smoke detectors, 2 pull stations, 9 duct detectors and 11 notification devices. PRMCE Fir 4 Behavioral Health Clinic Joint Venture with Veca Electric PLAN REVIEW.RE4UIREMENT. 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 Indicat€cats all documents that are being submitted with this permit application: R1 3 Sets of Speciflcatlons 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: Providence Health & SeVICG'S TENANT BUSINESS NAME If Commercial): OWNER MAILING ADDRESS: STREET1801 Lind Ave. SW #9016 ciTr Renton STATE WA zip 98057 OWNER PHONE: JOWNER EMAIL: CONTRACTOR NAME: Johnson Controls Fire Protection CONTRACTOR ADDRESS: 8TResT9520 10th Ave S Ste 100 ctTy Seattle STATE WA ZIP 98108 CONTRACTOR PHONE: 208-241-1400 1 CONTRACTOR EMAIL: ianat,stabblns@icl.com / molanie.smith@Icl.com CONTRACTOR LIC. #(REQUIRED): JOHNSOP831 PR CITY OF EVERETT BUSINESS LIC. # REQUIRED : 050211 PRIMARY CONTACT: DOWNER OCONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Melanie Smith for Janet Stebbins CONTACT PHONE: 206-777-4828 / 206-777-4842 CONTACT EMAIL: janet.stebbins@jci.com / melanle.smlth@jci.com AGREEMENT,, 1 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 / 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 296.2d0 WAC. City of Everett Official Use 1/12/2021 FAEl b I ' �Z Owner/Authorized Agent Signature Date ��IR---e---1A'Z'Z'Qr1AIR19M01