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FIVE ALARM PERMIT APPLIO\TION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINOTON (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:801 Wetmore Ave Everett,WA 98201 BUILDING AREA: 50o sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION 0 TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $2000 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2106-078 <br /> DESCRIBE SCOPE OF WORK: <br /> Add AES Radio to existing fire alarm system. <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 /> El 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: Everett Community College TENANT BUSINESS NAME(If Commercial): Olympus <br /> OWNER MAILING ADDRESS: STREET801 Wetmore Ave <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE:425-388-9998 OWNER EMAIL: <br /> CONTRACTOR NAME:Performance Systems Integration, LLC <br /> CONTRACTOR ADDRESS: STREET 19310 North Creek Pkwy <br /> cir Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:206-719-9173 CONTRACTOR EMAIL:carissa.thomson@psintegrated.com <br /> CONTRACTOR LIC.#(REQUIRED):PERFOSIS185O CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 61 656 <br /> PRIMARY CONTACT: DOWNER EICONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-510-0597 <br /> Carlssa Thomson CONTACT EMAIL:carissa.thomson@psintegrated.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 /> Jlc3( 2 FA2 OCD oI <br /> Owner/Aut nt Signature Date (Revised 3/6/2019) <br /> ti <br />