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4 0 <br />FIRE ALARM PERMIT APPLICATION <br />OL CITY OF EVERETT POMT SERVICES <br />n00 CEDAR STREET, EVERE T, WA 98201 <br />tPt 426-257-8810 i FAX 426.257-• i I tE} fv+ t$tie t #vt .£ + I WWW-ft *itWa,06V1t0rtni" <br />B <br />PROJECT ADDRESS; 6Zo 1 A ss oo1A - fir? SLv S? r iJiLClIN% AREA; <br />PROJECT TYPE. E3Nf N CONSTRUCTION O ADDiTIO TENANT IMPROVMENT 0 REMODEL <br />BUILD I NG UM <br />CONTRACT PRICE OF WORK: $ H l� ASsJCJCI m ELECTRICAL PERMIT P (REQWRED)j <br />DESCRIAE'.SCOPE OF WORK- F1rLL" AL.a2►-. S-&iAta ►- Z —` <br />Plan rev sr by the Fire Depat rtent Is required prior to permit Issuance. <br />Chalk the boxes below to indicaticate all docurrlertts that are being submitted with this permit appilcaficV. <br />3 Sets of Plans showing location of fire alarm devices <br />El 3 Seta of Specifications for the Devices to be installed <br />:}1fYNER WEE: C.ArLSt A� t TENANT BUSINESS NAME if CoMmerrclal : LtDASTAL P eALV <br />OWNER AWL:ItNG ADDRESS GmEcT -P3 13 <br />cm $Euxtjvc SALE 1nr <br />� ieo <br />OWNER PHONE - <br />CONTRACTOR NAME: 8 k Vi F 14Zt <br />CONTRACTOR ADDRESS: ?o i3vx 3-)11 <br />crry r'a 1tJcivri s n wJ) <br />z c4K2L <br />CONTRACTOR PHONE: 47-< 29y )wyS <br />CONTRAcrOREMAIL: "SCff-Q!, RN114F12t.Gov"- <br />CONTRACTOR LIC. tREQUtRE2. 8li f 121N �iLY-�i <br />ary OF EVE TT SUSINESS L IC. �(REQt aREO ; <br />Us5 i.�l i <br />PRIMARY CONTACT; 13 OWNF- t CONTRACTOR E3 t T44ER (Please Shy) <br />CONTACT NAME; <br />"SGFG $►toSSA94D <br />CC3N 1 ACT PHONE: yyS 2-q'1 t N 5' <br />GONTAC EMAIL -� GFF � 9f-jHFiYz& Lo►�-- <br />AGREEMEEAM: t haraby certify that I have read ,sW sxarWned this aWication and know the same to be trite and rorrercf: Aft pr revisions of laws mid <br />ordnances govemhV this typo ref° work will bet con*Vs*d whether specified heyreirr rlr nit. The granting ofe permit does not presrtrare tog" aul f d y <br />to violate or cw)cel the prrtvWarls of any othelr state or focal taw nVulaiitrg constrru hm or the performance or constrwillon. Theft i am authodied by <br />&re osa+rrer of fhks propetty tea pertbarl the work for which aAiv"hon is mado wo t cr»n* with the State Contractors taw t 27 RCW and 296,200 <br />WAG <br />of Evera�t 'Ncbat Ilse <br />s pEftlUilT W. <br />� z )1)2z1 , IF; 2 111-- O 12- <br />OvffadAuthodnd AgootSignaWre Date {fte�iserl Tti' 019) �• <br />