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0 <br />FIRE 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:5 West Casino Road <br />BUILDING AREA: 5000 <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: $2000.00 <br />ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): <br />DESCRIBE SCOPE OF WORK: <br />Install Starlink Communicator for the Existing Fire Alarm <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: Klndercare #301146 TENANT BUSINESS NAME (If Commercial): KlnderCare #301 146 <br />OWNER MAILING ADDRESS: STREET5 West Casino Road <br />�,T,, Everett STATE WA <br />Z,P 98204 <br />OWNER PHONE:425-348-5444 <br />OWNER EMAIL: <br />CONTRACTOR NAME: Fire Chief Equipment <br />CONTRACTOR ADDRESS: ITlEIT14214 NE 21st Street <br />,,,,, Bellevue STATE WA <br />ziP 98007 <br />CONTRACTOR PHONE:425-577-8703 <br />COCNTRACTOR EMAIL:stevenp@fire-chief.com <br />CONTRACTOR LIC. #(REQUIRED): I R C L C If1 3R J KZ <br />f <br />CITY OF EVERETT BUSINESS LIC. #(REQUIRED): <br />049297 <br />PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) <br />CONTACT NAME: <br />Steve Fled <br />CONTACT PHONE: 425-557-8703 <br />CONTACT EMAIL:stevenp@fire-chief.com <br />AGREEMENT: 1 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 for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 <br />WA C. <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMIT #: <br />FAZ1D4Gz <br />(Revised 31612019) <br />IL <br />