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�.; FIRE ALARM PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps©everettwa.gov I www.everettwa.govlpermits • <br /> • <br /> _ .:.::....... > <PROJECT:: : <br /> ITEIINFORMATION <br /> PROJECT ADDRESS:1934 Grand Avenue BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ®TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: El SFR ❑TOWNHOUSE ❑DUPLEX El ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> .:.... -.. MATT <br /> CONTRACT PRICE OF WORK:$750.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Install AES radio to monitor existing FACP Panel <br /> .. ..:. .. . MN UIREMENT:::r: <br /> .......... .. .. . <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 /> ZSets of Plans-Must include the following: <br /> 1• I Location of fire alarm devices <br /> ElBattery calculations&voltage drop calculations for notification appliance circuits <br /> ✓ Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT_ NFO- 1 R OWNER NAME: TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1934 Grand Avenue <br /> ern Everett sraTa WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:GUARDIAN SECURITY SYSTEMS <br /> CONTRACTOR ADDRESS: STREET 1743 1ST AVENUE S <br /> Cr,.,SEATTLE STATE WA zip 98134 <br /> CONTRACTOR PHONE;206-622-6545 CONTRACTOR EMAIL:CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): V 1�1 <br /> '4 3 <br /> • <br /> PRIMARY CONTACT: {DOWNER •CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-622-6545 EXT 277 <br /> ELIZABETH FISHER CONTACT EMAIL:EFISHER@GUARDIANSECURITYSYSTEMS.COM <br /> AGREEMENT:I 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 ROW and 296.200 <br /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> Elizabeth Fisher FA C)5 - <br /> 5/18/21 <br /> Owner/Authorized Agent Signature Date (Revised 3l6/2019) <br /> /Z � <br />