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ORE ALARM PERMIT APPMATION <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS:5415 Evergreen Way <br />BUILDING AREA: 20,000 sq ft <br />PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION 0 TENANT IMPROVMENT ❑ REMODEL <br />BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY-# OF UNITS: ✓❑ COMMERCIAL <br />PERMIT INFORMATION & DESCRIPTION OF WORK <br />CONTRACT PRICE OF WORK: $15,000 <br />ASSOCIATED ELECTRICAL PERMIT# (REQUIRED): <br />DESCRIBE SCOPE OF WORK: <br />Expanding an existing fire alarm system to accomodate a tenant space renovation <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 />0 3 Sets of Plans - Must include the following: <br />0 Location of fire alarm devices <br />0 Battery calculations & voltage drop calculations for notification appliance circuits <br />0 Sequence of operation in either an input/output matrix or narrative form <br />CONTACT INFORMATION <br />OWNER NAME: Coastal bank TENANT BUSINESS NAME (if Commercial): Coastal Bank Evergreen <br />OWNER MAILING ADDRESS: STREET5415 Evergreen Way <br />,,T,, Everett STATE WA ZIP 98203 <br />OWNER PHONE:4253492600 <br />OWNER EMAIL:facilities@coastalbank.com <br />CONTRACTOR NAME:SeaCom Cabling, Inc. <br />CONTRACTOR ADDRESS: ITlEIT3014 Hoyt Ave <br />,Ty Everett STATE WA Z,P 98201 <br />CONTRACTOR PHONE:4252935094 <br />CONTRACTOR EMAIL:tjohnson@callseacom.com <br />CONTRACTOR LIC. #(REQUIRED):SEACOC I944DO <br />CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 53655 <br />PRIMARY CONTACT: ❑OWNER ZCONTRACTOR ❑OTHER (Please Specify) <br />CONTACT NAME: <br />Troy Johnson <br />CONTACT PHONE:4252935094 <br />CONTACTEMAIL:tjohnson@callseacom.com <br />AGREEMENT: 1 hereby certify that/ 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 / am authorized by <br />the owner of this property to perform the work for which application is made and / 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 />Owne uth,qWled Agent Signature Date (Revised 31612019) <br />