7003 EVERGREEN WAY WINDERMERE REAL ESTATE 2021-09-22

MIN4 S E VI--PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 7003 EVERGREEN WAY BUILDING AREA: 1638 sq ft PROJECT TYPE: ❑✓ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: Q COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$3000.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): A r �. DESCRIBE SCOPE OF WORK: ADDITION OF RADIO AND SMOKE DETECTOR TO EXISTING FIRE ALARM SYSTEM - 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: /g + 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) t/J /.f O(�.ly ❑✓ 2 Sets of Plans-Must include the following: -� / ❑ Location of fire alarm devices LE S ❑ 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: TENANT BUSINESS NAME(If Commercial): WINDERMERE RE OWNER MAILING ADDRESS: STREET7003 EVERGREEN WAY CITY EVERETT STATE WA zp 98203 OWNER PHONE: 425-293-3298 OWNER EMAIL: CONTRACTOR NAME: BAY ALARM COMPANY CONTRACTOR ADDRESS: STREET 8229 44TH AVE W, SUITE D cry MUKILTEO STATE WA 98275 CONTRACTOR PHONE:425-595-3952 CONTRACTOR EMAIL: JOSHUA.OBERLANDER@BAYALARM.COM CONTRACTOR LIC.#(REQUIRED):BAYALAC876KF CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57430 PRIMARY CONTACT: DOWNER E1CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-595_3952 JOSH CONTACT EMAIL: JOSHUA.OBERLANDER@BAYALARM.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 l am authorized by the owner of this properly to perform the work for which application is made and I comply with the State Contractors Law 18,27 ROW and 296.200 WAC. City of Everett Official Use Only PERMIT#: P)k- .7(0 _ ml Owner/Authorized Agent Signature Date (Revised 3 6/2019)