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INN • s <br /> MI FIRE ALARM PERMIT APPLICATION <br /> EVERETT 32 CITY OF EVERETT PERMIT SERVICES <br /> 00 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (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:tl Z,\c: 1/4..L �.ki:102\y\n L ve;� '' BUILDING AREA: S ,2�` sq ft <br /> PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION El TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> ! PERMIT INFORMATION & DESCRIPTION OF WORK <br /> 9 <br /> !CONTRACT PRICE OF WORK:$ 2 i J iQi Oc., ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): ^ , <br /> O[SCRIBF SCOPE OF WORK: F\CL' 7;,.v\e\ -+2 c-E\.L C(,)\NvK`11r(\\C cx. \t- <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 /> sr 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> . 3 Sets of Plans-Must include the following: <br /> 111. Location of fire alarm devices <br /> Q 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: ; N. -c TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET j 7 2 (r2 L.(.,) KA \tom_ tJLF'cJ ' <br /> i* CITY q,v. - STATE Li J ZIP ci74{-)) <br /> )'itWNER PHONE: LIZ" 7 ?.-, OWNER EMAIL: <br /> !CONTRACTOR NAME: S.‘‘\\ c.-\ L\C.A-- <br /> !CONTRACTOR ADDRESS: STREET ,Z`Z-1. \ C C\\-s. KNOLL Cj\ 1 �{ Q <br /> 1 __�_e_ �a.CITY STATE v. [� ZIP \]: <br /> 'CONTRACTOR PHONE:N ZS-S ( —1 dF a, CONTRACTOR EMAIL:A evc..\,ws(L s:),,111aSQL \-s 14 ei a, <br /> CONTRACTOR LIC.#(REQUIRED):'fI(y+3 \V 4( C{l t%',' J CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 7 <br /> 3 t 3 <br /> PRIMARY CONTACT: DOWNER 2'CONTRACTOR DOTHER(Please Specify) _ <br /> CONTACT NAME: C\t\e,-kk 3t-'"!\ CONTACT PHONE:U Z S 536 Z-ND2 <br /> }CONTACT EMAIL: <br /> 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 <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 r <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 maJe and/comply with the Stare Contractors Law 18.27 RCW and 296.200 <br /> WAC. <br /> City of Everett Official Use Only <br /> "PERMIT#: <br /> g�ots- FA 2©O2- d L (0 <br /> t\ �h `-C <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br /> yz- <br />