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• • <br /> FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> sitoW:. 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)426-25l-l3810 i FAX 425267- 7 I(E)evraetlepstOeverettwa.govi .everettwa,s r,,'' ''- <br /> -.s •u: 4 L'•a d >€'"ex rn;'%g . i , r a {C :.:t-M «. € I i 1osv ' g'`fl`' a i.:°v, .v._', <br /> PROJECT ADDRESS: I�ZS St E v c R t"f T t�gtL tti A`i BUILDING AREA: - ffi�i ft <br /> PROJECT TYPE: 0NEW CONSTRUCTION 0 ADDITION I TENANT IMPROVNIENT El REMODEL , <br /> BUILDING USE: <br /> c., r:x, ,,r.',;i " ,; !` +, `;':M ' 4 'x'„•.%,& ,'merur . .f ?,.,f. tw..cer r, .... ,e, ,.s : 1 <br /> CONTRACT PRICE OF WORK: , $�,,a7c ASSOCIATED ELECTRICAL PERMIT ft(REQUIRED): <br /> `DESCRIBE SCOPE OF WORK: 1 n1TALL. F t AL a"^ <br /> Plan review by the Fire Department is required prior to permit issuance. <br /> Check the boxes below to indicaticate ail documents that are being submitted with this permit appiici€ion: <br /> -151 3 Sets of Plans showing location of fire alarm devices <br /> "V 3 Sets of Specifications for the Devices to be Installed <br /> OWNER NAME: FL4 I Pk)t„ Sctv1RASA- dZ-f,S TENANT BUSINESS NAME(if Commercial): <br /> OWNER MAILING ADDRESS: GlIteEr 1'3"LS .Sc LXA:t J 1'r ^ALL LLa1 <br /> CfT( E.Vea-t--77 sTkir t'A •:1s, 11C to <br /> 1 <br /> OWNER PHONE: tOWNER EMAIL: <br /> i <br /> CONTRACTOR NAME: 13 k N f lR� , <br /> CONTRACTOR ADDRESS; seaman Po 6v-x 3111_ <br /> cfir Y AR l.lrv<.,i Uw? prA=E t.,,A z )45223 ... 1 <br /> CONTRACTOR PHONE: yes Z44 1445" 1CONTRACTOREMAIL.: =i;":Pr a 13v,.))4Prixe..CO 0-. <br /> CONTRACTOR LIC.#(REOUIRED): SO f p1LAP B4Z1Lh) try OF EVERETT BUSINESS UC,#(REQl RED); CS-S.4o11 1 <br /> PRIMARY CONTACT: C7 OWNER—s1g CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 112s' 24y ,t44S , <br /> s Ey y- BRc7s am_o CONTACT EMAIL: Se:,'F F Q_, gt,.l4i flee.Co ir•--. <br /> 4 <br /> AGREEMENT. I hereby certify that I have read and examined this application and know the same to be true and coned. AN provisions of laws and <br /> ordinances governing this typo of work will be completed whether specified heroin 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 Slate Contractors Law 18.27 RCW and 296 200 r <br /> WAG. <br /> i <br /> City of Everett Official Use Only <br /> 'PERMIT#: <br /> le'?‘-1-Z�2 <br /> 0 <br /> iM tmd A Signature' Date (Revs.,e l ;f 1 2O1 ). <br /> 1 <br /> �t'— <br />