3425 BROADWAY LEAVITT GROUP 2021-09-22

• NMI FIRE ALARM PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 wAsH,NGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION. PROJECT ADDRESS:3425 Broadway BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR El TOWNHOUSE ❑DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION:'OF WORK CONTRACT PRICE OF WORK:$500.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: INSTALL AES RADIO TO MONITOR FACP PLAN REVIEW REQUIREMENT 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 indicaticate all documents that are being submitted with this permit application: ✓❑ 3 Sets of Specifications 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: MXC INVESTMENTS TENANT BUSINESS NAME(If Commercial): LIZA. ' (p ,fib V OWNER MAILING ADDRESS: sTREET9027 9TH AVENUE NW c,T., SEATTLE STATE WA Z,P 98117 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:GUARDIAN SECURITY SYSTEMS CONTRACTOR ADDRESS: STREET 1743 1ST AVE S c,TY SEATTLE STATE WA zip 98203 CONTRACTOR PHONE:206-622-6545 CONTRACTOR EMAIL:EFISHER@GUARDIANSECURITY.COM 14 CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 33 Y��{ 3 PRIMARY CONTACT: ['OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-622-6545 ELIZABETH FISHER CONTACT EMAIL:EFISHER@GUARDIANSECURITY.COM 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 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 I 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 296.200 WAC. City of Everett Official Use Only PERMIT#: Elizabeth Fisher 5/13/21 FA ° C)(53 Owner/Authorized Agent Signature Date (Revised 3/6/2019)