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FOE ALARM PERMIT APPLI•TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: (9o,2_0 ,A`I V 1-J BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION aTENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU 0 MULTI-FAMILY-#OF UNITS: PI COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): G.,151,1_ lT3 <br /> DESCRIBE SCOPE OF WORK: tST iIL-1 � PfL- +`--t nsys i v oaf ( R J�S�"` <br /> '�J C D �� �N] l C�JQ- l'SI -�L� f )c i�� jVI�C t�vlam S� -7 SZ-� C LQ -'1� Ywz e,',-( <br /> S`�Is ► � F�c-iP l� ;15 - P> \J y rvE T A <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 /> ❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑ 3 Sets of Plans-Must include the following: <br /> ❑ Location of fire alarm devices <br /> ❑ 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: (,.rum TENANT BUSINESS NAME(If Commercial): (L`I\ C <br /> OWNER MAILING ADDRESS: STREET (j L(AP 5"4^-)+3S1 (3L.'- <br /> CITY T L l 1 STATE W A ZIP cir o-L L' <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Sy�M>✓t�1`� �IV�1sSTIzi <br /> CONTRACTOR ADDRESS: STREET C5-r) BAST 6 k--E <br /> CITY C STATE wvrA ZIP 5V0 B <br /> CONTRACTOR PHONE: 4?L5 43 1CONTRACTOR EMAIL: ,USCl cj <br /> CONTRACTOR LIC.#(REQUIRED): Sys.I-4L \l r1 i`\ P CITY OF EVERETT BUSINESS LIC.#(REQUIRED): U(`l c <br /> , f ,N\&.t, : .,t(0 <br /> PRIMARY CONTACT: ❑OWNER EI CONTRACTOR ❑OTHER(Please Specify) ��� <br /> CONTACT NAME: CONTACT PHONE: C}Z 5 � '} Lt353 S..Gh.4.- . ``3 <br /> C,PN CONTACT EMAIL: 31'u�E G ��K�� 1 S� LCs�1S e �l <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/comply with the State Contractors Law 18.27 RCW and 296.200 <br /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> w Ju�s zot FA «off �06� <br /> Owner/Authorized Agent Signature Date (Revised 4/15/2019) <br /> Z <br />