1615 75TH ST SW HOME HEALTH AND HOSPICE 2022-01-24

ORE 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:1615 75th St BUILDING AREA: unknow,project is 14000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR E TOWNHOUSE ❑ DUPLEX ❑ADU E MULTI-FAMILY-#OF UNITS: `� COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$5750 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):EL2107-187 DESCRIBE SCOPE OF WORK: Run new notification circuits, install new notification devices. 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: Everett Tech PArk I TENANT BUSINESS NAME(If Commercial): HH&H OWNER MAILING ADDRESS: STREETSABEY Corp CITY Seattle STATE WA ZIP 98188 OWNER PHONE:3608716188 OWNER EMAIL:camryno@firesystemswest.com CONTRACTOR NAME:Fire Systems West CONTRACTOR ADDRESS: sTREET206 Frontage Rd N, Suite C CITY Pacific STATE WA ZIP 98047 CONTRACTOR PHONE:253-833-1248 CONTRACTOR EMAIL:camryno@firesystemswest.com CONTRACTOR LIC.#(REQUIRED):FIRESWI055LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 02291 9 PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-431-5860 Cam ryn Olivarez CONTACT EMAIL:camryno@firesystemswest.corn AGREEMENT:I 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 WAC. City of Everett Official Use Only PERMIT#: a�s�ytL o�iac4 2 07/28/2021 FA 210 i °3 Owner/M thorized Aglidt Signature Date (Revised 3/6/2019)