906 SE EVERETT MALL WAY BASE FILE 2022-01-25

IE ALARM PERMIT APPLIATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:906 SE EVERETT MALL WAY BUILDING AREA: UNKNOWN sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT E REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE E DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$2550 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2106-234 DESCRIBE SCOPE OF WORK: INSTALL NEW MODULES TO MONITOR SPRINKLER RISER AND FIRE PUMP. PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance. Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: ❑2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑2 Sets of Plans-Must include the following: ❑ Location of fire alarm devices ❑ Battery calculations&voltage drop calculations for notification appliance circuits ❑ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: COLLIERS INTERNATIONAL TENANT BUSINESS NAME(If Commercial): N/A OWNER MAILING ADDRESS: sTREET601 UNION ST, SUITE 5300 CITY SEATTLE STATE WA ZIP 98101 OWNER PHONE:206-223-1262 OWNER EMAIL:VENESSA.MAGNUSON@COLLIERS.COM CONTRACTOR NAME:FIRE SYSTEMS WEST, INC. CONTRACTOR ADDRESS: sTREET206 FRONTAGE RD N, SUITE C CITY PACIFIC STATE WA z,P 98047 CONTRACTOR PHONE:253-833-1248 CONTRACTOR EMAIL:CAMRYNO@FIRESYSTEMSWEST.COM CONTRACTOR LIC.#(REQUIRED):FIRESWI055LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 24919 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-431-5860 CAMRYN OLIVAREZ CONTACT EMAIL:CAMRYNO@FIRESYSTEMSWEST.COM AGREEMENT:1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and 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 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 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 WA C. City of Everett Official Use Only PERMIT#: ( qtL O �1 06/29I2021 F ` I °l - 0 o I Ownerl{Yi'ithorized Ag&dt Signature Date (Revised 3/6/2019) ,�Z