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FE 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:3706 Rucker Ave. BUILDING AREA: 30(Work Area) sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION C ADDITION [ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: Li SFR ✓❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS:6 ❑ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$2,200.00 ASSOCIATED ELECTRICAL PERMIT# (REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Installing new AES radio to existing fire alarm control panel for monitoring. <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: Berner Holdings LLC TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 31 12 Rockerfeller Ave. <br /> Everett STATE WA ZIP 98201 <br /> OWNER PHONE:- OWNER EMAIL:- <br /> CONTRACTOR NAME:Commercial Alarm & Detection, Inc. <br /> CONTRACTOR ADDRESS: STREET 17199 Bennett Rd. <br /> CITY Mt. Vernon STATE WA ZIP 98273 <br /> CONTRACTOR PHONE:509-868-8485 CONTRACTOR EMAIL:ron@cfirepro.com <br /> CONTRACTOR LIC.#(REQUIRED):COMMEA1948LO CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: lOWNER RCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360 848 1533 x111 <br /> Krista Swanson CONTACT EMAIL:krista@cfirepro.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 /> FA2012,-00 <br /> O ner/Authorized Agent Signature Date (Revised 3/6/2019) <br /> 1lZ <br />