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ill 0 i <br /> M FIRE ALARM PERMIT APPLICATION <br /> EVERETT 32 CITY OF EVERETT PERMIT SERVICES <br /> 00 CEDAR STREET,EVERETT,WA 98201 <br /> WA SHINGTON (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: 1 BUILDING AREA: t- C C sq ft <br /> 1 1 Z.'L l r`� �K�U�-\`�Ct_ L,��3..1� Rio 1, �'-. <br /> ;PROJECT TYPE: ❑NEW CONSTRUCTION E ADDITION ❑TENANT IMPROVMENT ❑ REMODEL <br /> -31.:ii_NNG USE: ❑ SFR El TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> IPERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ �j ; (�LZ ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): gt,f 2„o►_o\t <br /> DESCRIBE SCOPE OF WORK: r\ff ii,Av1r`i �C Cs�,,_ ( UrY,,,,,, . ,vt,Ccl c- <br /> t 1 <br /> PLAN REVIEW REQUIREMENT <br /> flan 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 /> §13:Nets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> g?. 3 Sets of Plans-Must include the following: <br /> Location of fire alarm devices <br /> ' Er Battery calculations&voltage drop calculations for notification appliance circuits 4 <br /> Sequence of operation in either an input/output matrix or narrative form i <br /> ET <br /> CONTACT INFORMATION <br /> )WWNEri 1+AME.Vm „\4\0,N..A`% `� :‘,� (.v.ATENANT BUSINESS NAME(If Commercial): <br /> :OW.i3 tt ii'LAit..NG ADDRESS: `` STREET t"1 Z2 NM(t.C\ \j t-t....> pw _�. <br /> ; . _..__�._._._...._ CITY V'e,c-e_ STATE i A '�\AS ZIP -1 C.k '-'1 <br /> kt')WNEER PHONE:L)t ic -7j LkOCSC, OWNER EMAIL: 1 <br /> CONTRACTOR NAME: cjp.n\ -c.\ 'SL\cL 4 <br /> 'f aL <br /> )(r' f•RACTORADDRESS: STREET 7_2 ,N. CU.\\ �� < <br /> cnLYe_'(�'R` STATE 4,....)34X, ZIP C\73-0 s..... <br /> CONTRACTOR PHONE:GI LS S30 31tcZ- CONTRACTOR EMAIL: a,,,,x�hS @ off, .-e C„�is. ,vji7. <br /> _CONTRACTOR LIC.#(REQUIRED):SC:IS R A at L\r%p1(CITY OF EVERETT BUSINESS LiC.#(REOUIRED):' a- <br /> I t 1 ti. <br /> k <br /> F1-.Rl MA CONTACT: DOWNER [CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME ' )C C tA, >-'1\S CONTACT PHONE: <br /> 1.4 2S530— El IPZ <br /> I CONTACT EMAIL:A r_yA5� ‹,e L.xi C\Selli t.`E . v i`Z- <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 <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 to which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 <br /> 'V✓4C <br /> City of Everett Official Use Only <br /> PERMIT#: �i <br /> 4-M10/\LKUSL s g._ag-go FA2b02-J b \- ) <br /> OwnerlAuthorized Agent Signature Date (Revised 3/6/2019) <br /> I- <br />