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E ALARM PERMIT APPLI TION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 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:10115 Holly Drive Everett, WA 98204 Bldg. R BUILDING AREA: 8,000 sq ft <br /> PROJECT TYPE: El NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑✓ MULTI-FAMILY-#OF UNITS:16 El COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $3,582.00 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 /> 0 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: STREET 10115 Holly Drive <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE: 425-341-0146 OWNER EMAIL: olinfieldsmaintenance@gmail.com <br /> CONTRACTOR NAME:Performance Systems Integration, LLC DBA Fire King of Seattle <br /> CONTRACTOR ADDRESS: STREE Z40 S. Holden St. <br /> CITY Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE:206-763-4177 CONTRACTOR EMAIL: tmoore@firekingofseattle.com <br /> CONTRACTOR LIC.#(REQUIRED): PERF01831 PE CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0910 9 3 <br /> PRIMARY CONTACT: [OWNER ❑✓ CONTRACTOR _OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-763-4177 <br /> Ta rn i Moore CONTACT EMAIL: tmoore@firekingofseattle.com <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 for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 <br /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> \r\ M_:%-- �2-Aci FA pcip �- <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br />