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IRE ALARM PERMIT APPLICATION <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 9600 Sharon Dr Everett, WA, 98204 <br />BUILDING AREA: 2000 <br />sq ft <br />PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL <br />BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: <br />✓❑ COMMERCIAL <br />PERMIT INFORMATION & _DESCRIPTION OF WORK <br />CONTRACT PRICE OF WORK: $13,000.00 <br />ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): <br />DESCRIBE SCOPE OF WORK: <br />20 FA devices for a portable 3 and 4. <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 />❑✓ 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: MUkllteo School District TENANT BUSINESS NAME (If Commercial): Explorer Middle School <br />OWNER MAILING ADDRESS: ITREET9600 Sharon Dr <br />„Y Everett STATE WA <br />Z,P 98204 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: ADT Commercial <br />CONTRACTOR ADDRESS: ITREET21312 30TH DR SE <br />,,, Bothell <br />STATE WA <br />ZIP 98021 <br />CONTRACTOR PHONE: 425 375 4545 <br />CONTRACTOR EMAIL: michelleburkhart@adt.com <br />CONTRACTOR LIC. #(REQUIRED): ADTCOCL801 UQ <br />CITY OF EVERETT BUSINESS LIC. #(REQUIRED): <br />62267 <br />PRIMARY CONTACT: DOWNER ZCONTRACTOR ❑OTHER (Please Specify) <br />CONTACT NAME: L, 1, <br />MICA@ll@ BUfkilal-+ <br />CONTACT PHONE: 25 375 4545 <br />CONTACT EMAIL: michelleburkhart@adt.com <br />AGREEMENT: 1 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 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 />WA C. <br />City of Everett Official Use Only <br />PERMIT #: <br />5u4lelw� — <br />08-11-2020 FAW <br />Owner/Authorized Agent Signature Date (Revised 31612019) <br />