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i a► <br /> FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4ZI—r—/- 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:9601 EVERGREEN WAY, EVERETT, 98208 BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ®TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: ❑SFR El TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$$600 ASSOCIATED ELECTRICAL.PERMIT It(REQUIRED): APPLIED FOR <br /> DESCRIBE SCOPE OF WORK: INSTALL A UL LISTED AES WIRELESS RADIO COMMUNICATOR AND TIE <br /> IT INTO THE EXISTING FIRE ALARM SYSTM FOR FIRE ALARM 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 /> 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> a 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: WILLIAM HANNAN TENANT BUSINESS NAME(If Commercial):TORTAS LOCAS _ <br /> OWNER MAILING ADDRESS: STREET PO BOX 92 <br /> cnv MINERAL STATE WA zip 98355 <br /> OWNER PHONE:912 596 6527 OWNER EMAIL: <br /> CONTRACTOR NAME: FIRE PROTECTION INC <br /> CONTRACTOR ADDRESS: STREET 17410 ASH WAY , SUITE 8 <br /> Ci-,-, LYNNWOOD STATE WA ZIP 98037 <br /> CONTRACTOR PHONE: 425 290 9600 _CONTRACTOR EMAIL: MEGAN@FPISEATTLE.COM <br /> CONTRACTOR LIC.#(REQUIRED): FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 038814 <br /> PRIMARY CONTACT: DOWNER R CONTRACTOR DOTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425 290 9600 <br /> MEGAN VAUGHN CONTACT EMAIL: MEGAN@FPISEATTLE.COM <br /> AGREEMENT:I hereby certify that!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 /> '�r'/�� i )J(1ry FA )..0 0 - O 15 <br /> Own r/Aut orized Agent Signature Date (Revised 3/6/2019) <br />