9028 EVERGREEN WAY JOHN FLUKE MFG 2021-11-02

FIRE ALARM PERMIT APPAATION EVERETT • 32 0CITY OF EVERETT PERMIT SERVINIF CEDAR STREET,EVRET,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits D &1 brzA PROJECT SITE INFORMATION PROJECT ADDRESS:men Evergreen Way, Everett WA 98204 BUILDING AREA: 171000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ©TENANT IMPROVMENT El REMODEL BUILDING USE: ❑SFR El TOWNHOUSE ❑ DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: x❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 3567.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): 6.1302: I)S ki DESCRIBE SCOPE OF WORK: Adding notification device to clean room using existing NAC circuit in area. 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) ❑X 3 Sets of Plans-Must include the following: O Location of fire alarm devices X❑ Battery calculations&voltage drop calculations for notification appliance circuits ❑X Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Fluke TENANT BUSINESS NAME(If Commercial): Fluke OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Siemens Insustrys CONTRACTOR ADDRESS: STREET 15900 Eastgate Way, Suite 200 CITY Bellevue STATE WA ZIP 98008 CONTRACTOR PHONE:(425)270-9678 CONTRACTOR EMAIL: rachel.brambila@siemens.com CONTRACTOR LIC.#(REQUIRED):SIEMEII919PP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019927 PRIMARY CONTACT: DOWNER ❑CONTRACTOR ©OTHER(Please Specify)Siemens Project Manager CONTACT NAME: Rachel Brambilia CONTACT PHONE: 425-270-9678 CONTACT EMAIL: rachel.brambila@siemens.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 1 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#: FA\g3 _ 00 Owner/Authorized Sign Dat (Revised 3/6/2019) t i77