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4111 • <br /> I <br /> i <br /> elP-- FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 42b-257-18887 ((E)ev rettepp vetettwa.gOv I www.everettwe, +viperrrits <br /> xis r V <br /> PROJECT ADDRESS: 43t0 to t-9'1 Avt= BUILDING AREA: m_.,. ,,eq <br /> o <br /> PROJECT TYPE: 0 NEW CONSTRUCTION 0 ADDITION a TENANT IMPROVMENT CI REMODEL <br /> BUILDING USE: I <br /> IwlttiACT PRIC> 11RK.$ASZ�r, �. �., <br /> 4e "" IATED ELECTRICAL PE MIT#(REQUIRED): I <br /> I <br /> 'DESCRIBE SCOPE OF WORK: I $1ALL v cA-yit.rrArim f rr ALArr—r. SY ST 5 oiL- t;L b'/A l v2 atz-c skLL- <br /> $� ,. € a, + �enc�rF'# Irallyt s1t Ra ,� ,,,r1 a^.' a ' <br /> z ,Sx c ' t <br /> 1 7 ' '"iW' 7 w 3 <br /> Plan review by the Fire Department Is required prior to permit Issuance, <br /> Check the bones below to Indicaticate all documents that are being submitted with this permit application: <br /> to <br /> 3 Sets of Plans showing location of fire alarm devices <br /> sat 3 Sets of Specifications for the Devices to be Installed <br /> .t'' 'iq s:r F a}Vu,.t4 - .: .fib`"`. , 7 'a ;imy m rai ,, r.4 r 0:57- -d- „,y,:A. ,. ` . o,3's ..za'v.A i <br /> OWNER NAME: n MA i P A Z L- TENANT BUSINESS NAME(it commercial): C4;t.L39 me-01c.4L. i31.1:)C, a <br /> i <br /> OWNER MAILING ADDRESS: sir I t"? t F% 1 t..V t?SA Si STE- Z3 r <br /> W <br /> crrr S C--A-'T t.r STATE A. qi C Icy? <br /> OWNER PHONE: 2t,to S115- t-t‘i Ct.t'f OWNER EMAIL: <br /> CONTRACTOR NAME: B 41e N r)(LC <br /> i <br /> CONTRACTOR ADDRESS: smear rk floA 3'7 11 <br /> r <br /> ern, l2LiNc.1ON GFF BN�1Ptr2t_• Gt71^� q�2Z3 <br /> CONTRACTOR PHONE: S et/t{ (�let< CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.IMMURED): 3 Vif lrl F-$N21Zt..) 'CITY OF EVETtETT BUSINESS UC.#(REQUIRED): SSCci 7 <br /> i <br /> PRIMARY CONTACT: D OWNER W.CONTRACTOR 0 OTHER(Please Specify) <br /> j <br /> CONTACT NAME: CONTACT PHONE: L{zs' ZLt"-I 1 0 N 5.— <br /> Zt.nf T- '324a6Sl a.. CONTACT EMAIL: ) f~f EaNMf/f2A .(VV.-) <br /> AGREEMENT:I hereby certify Chet I have read and examined this application and know the same to be true and correct. Al provisions of laws and <br /> ordinances governing this type of work w4N be completed whether specified herein or not. The granting of a permit does not presume to give author y <br /> to violate or cancel the p ovisions 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 1 comply with the State Contractors Law 18.27 RCWand 296,200 <br /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT*: <br /> _ FAQ\. b1 - - 3 .r. <br /> ����✓ 1�2s �7c�z ) <br /> OwnedI Signature Date (Revised in//10t) <br /> 1/2. <br />