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PRE ALARM PERMIT APPLICATION <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: 631t 36th Ave. West, Everett, WA 98203 <br />BUILDING AREA: 61,796 sq ft <br />PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ ADDITION ❑ 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: $ 3,650.00 <br />ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): E2010-112 <br />DESCRIBE SCOPE OF WORK: <br />Powdermill Complex, Building D - Install (3) addressable relay modules on building fire alarm system. <br />Relays will shut down overhead fans during an alarm event. <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: Powdermlll Phase 1, LLC TENANT BUSINESS NAME (If Commercial): Amazon <br />OWNER MAILING ADDRESS: STREET 14900 Interurban Ave. S. <br />„-,. Tukwila STATE_ WA Z,F 98168 <br />OWNER PHONE: 425-283-5478 1 <br />OWNER EMAIL: krissyb@jshproperties.com <br />CONTRACTOR NAME: Patriot Fire Protection, Inc. <br />CONTRACTOR ADDRESS: ITREET2707 70th Ave. E. <br />c,T., Tacoma STATEWA zip 98424 <br />CONTRACTOR PHONE: 253-284-3447 <br />CONTRACTOR EMAIL:jeffh@patriotfire.com <br />CONTRACTOR LIC. #(REQUIRED): PATRIFP8370Q <br />CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 024694 <br />PRIMARY CONTACT: []OWNER ZCONTRACTOR ❑OTHER (Please Specify) <br />CONTACT NAME: <br />Jeff Harasimowitz <br />CONTACT PHONE: 253-284-3447 <br />CONTACT EMAIL:jeffh@patriotfire.com <br />AGREEMENT: / hereby certify that 1 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 />WAC. <br />City of Everett Official Use Only <br />PERMIT #: <br />- FA IOU --OCR <br />o 1 0 J0 L L--o <br />Owner/lIku horizeillAgent Signat a Date (Revised 31612019) <br />,1z <br />