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EVERETT <br />WASHINGTON <br />04E ALARM PERMIT APPLIPATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 l FAX 425-257-8857 l (E) everetteps@everettwa.gov i www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS:10115 Holly Drive Everett, WA 98204 Bldg. A <br />BUILDING AREA: 8,000 <br />sq ft <br />PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL <br />BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑✓ MULTI -FAMILY - # OF UNITS:16 <br />❑ COMMERCIAL <br />PERMIT INFORMATION & DESCRIPTION OF WORK <br />CONTRACT PRICE OF WORK: $3,582.00 <br />ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): <br />DESCRIBE SCOPE OF WORK: <br />Replace existing fire alarm panel with new and install in weather proof box with a new AES radio. <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: AMC LLC TENANT BUSINESS NAME (If Commercial): <br />OWNER MAILING ADDRESS: s.REET 10115 Holly Drive <br />,,,T,. Everett STATE WA <br />ZIP 98204 <br />OWNER PHONE: 425- 341- 0146 1OWNER <br />EMAIL: olinfieldsmaintenance@gmail.com <br />CONTRACTOR NAME: Performance Systems Integration, LLC DBA Fire King of Seattle <br />CONTRACTOR ADDRESS: STREET Z40 S. Holden St. <br />CITY Seattle STATE WA <br />ZIP 98108 <br />CONTRACTOR PHONE:206- 763- 4177 <br />CONTRACTOR EMAIL: tmoore@firekingofseattle.com <br />CONTRACTOR LIC. #(REQUIRED): PEppRF01831 PE <br />CITY OF EVERETT BUSINESS LIC. #(REQUIRED): <br />6 <br />tt <br />4' 11'0 �.- ' G Pi_ <br />PRIMARY CONTACT: ❑OWNER ZCONTRACTOR ❑OTHER (Please Specify) <br />CONTACT NAME: <br />Ta m i Moore <br />CONTACT PHONE: 206-763-4177 <br />CONTACT EMAIL: tmoore@firekingofseattle.com <br />AGREEMENT: I hereby certify that/ 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 / am authorized by <br />the owner of this property to perform the work for which application is made and 1 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 />FA ,- <br />(Revised 31612019) <br />