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1902 MADISON ST 2021-09-07
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1902 MADISON ST 2021-09-07
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Last modified
9/7/2021 2:32:21 PM
Creation date
8/26/2021 3:14:24 PM
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Address Document
Street Name
MADISON ST
Street Number
1902
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Elm <br /> tRE ALARM PERMIT APPLI TION <br /> EVERETT 32 CITY OF EVERETT PERMIT SERVICES <br /> 00 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1902 MADISON ST BUILDING AREA: 2500 sq ft <br /> PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑SFR El TOWNHOUSE ❑DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: ✓❑COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$850 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):APPLIED FOR <br /> DESCRIBE SCOPE OF WORK: <br /> INSTALL A UL LISTED AES WIRELESS RADIO COMMUNICATOR AND TIE IT INTO THE EXISTING FACP. <br /> THE AES RADIO WILL PROVIDE SUPERVISING STATION MONITORING. <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 /> El3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> El3 Sets of Plans-Must include the following: <br /> ElLocation of fire alarm devices <br /> ElBattery 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: PINEHURST BAPTIST TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1902 MADISON ST <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:425.290.7908 OWNER EMAIL: <br /> CONTRACTOR NAME:FIRE PROTECTION INC <br /> CONTRACTOR ADDRESS: STREET 17410 ASH WAY, Ste 8 <br /> Cm, LYNNWOOD STATE WA ZIP 98203 <br /> CONTRACTOR PHONE:425.290.9600 CONTRACTOR EMAIL:DAVID@FPISEATTLE.COM <br /> CONTRACTOR LIC.#(REQUIRED):FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 038814 <br /> PRIMARY CONTACT: DOWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: DAVID MOW CONTACT PHONE:425.290.9600 <br /> CONTACT EMAIL:DAVID@FPISEATTLE.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#: <br /> DAVID DN cnY DAVID MOW.c1 SOW <br /> o=FIRE PROTECTION INC, /` / I I ,� q <br /> email=DAVID@FPISEATTIE.COM ,/••�` L l//./`!'/v/1 <br /> MOW Dale:2021 01.12 09 32 56-08'00' 1/12/21 <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br /> 1/z <br />
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