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4111 III <br /> 1 <br /> /11411P--- FIRE ALARM PERMIT APPLICATION <br /> ,-;!1•t.,,---A CITY OF EVERb_i i PERMT SERVICES <br /> 4.11''At '71 sit*CEDAR STREET,EVERETT,WA 98204 <br /> (P)42 5-2574810 1 FAX 425-257-8857 1(E)everetteroinoverettwa,gov I vAwv everettwa_govieennits ; <br /> aital:- 7::,,117,11:12:1, iii,l'r',--FS:x..74Tr• ...-,,,,4,1:aialfevAiiiiitMtra i <br /> PROJECT ADDRESS: 3711 S%ft i T t-/ Ave: BUILDING AREA: . .,141 ft . <br /> i <br /> PROJECT TYPE: CI NEW CONSTRUCTION 0 ADDITIOWISI TENANT IMPROVMENT Cl REMODEL <br /> BUILDING USE: <br /> k't{.....7,1.L:) ,,,ikEIC,..L!4,22,:-.,:;,4(147....EiX17:!:',,,,,:1423:51;1'. <br /> CONTRACT PRICE OF WORK:$ 9 I o u c"--S-' ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: IZ.L.PLACSL. V I Ri. ALAbRI‘-N <br /> i <br /> igr; <br /> Plan review by the Pire Department Is required prior to permit Issuance. <br /> Check the boxes below to indicaficate all documents that are being submitted with this permit application: <br /> --la 3 Sets of Plans showing location of fire alarm devices <br /> ---.-1:1 3 Sets of Specifications for the Devices to be installed <br /> r',,TM-7:Zel:iffil$:04.i:'st::::-,tiltr' ;' t,17,1i,,,,w;ria'; <br /> OWNER NAME: E.ye-at:TT C.oSPE.L. r."1 SS)oh.)TENANT BUSINESS NAME(it Commercial): <br /> OWNER MAILING ADDRESS: STREET 3-71i <br /> CriY £ Va(t-t/1- b'TATE %AA 21P I V2-0 "0.? <br /> OWNER PHONE: OWNER EMAIL: <br /> mtbezw <br /> CONTRACTOR NAME: r3 <br /> CONTRACTOR ADDRESS: STREVI Ft ee,-", 3-7 I) <br /> cm, A b-k...1rOt.:10 A) MATE IdsPek 71. IrZ7-3 i <br /> CONTRACTOR PHONE: 4 ZS 2-44 ILI LK CONTRACTOR EMAIL: z-e. v.qa St.)4 r 1(-4-c_•cc?t,----) 1 <br /> CONTRACTOR LIC.#(REOUIRED): g)-N 1,1 ft-FA f 8 42-ie-v.) kir(OF EVERETT BUSINESS LW.St(REutliRED): 5-.56" 7 <br /> PRIMARY CONTACT: DOWNER-----ii CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 1.4-.2. ' z4 4 I- L4_45- <br /> z•e_c•F. aa04sARO CONTACT EMAIL: -S6FP% atvHfi( -t.l. <br /> t <br /> AGREEMENT:I hereby certify that I have read end examined this application and know the same to be true and correct. AR provisions of laws and <br /> ordinen4*s goveniii ill this type of work will be completed whether specified heroin or not The granting a a permit does not presume to give authority t <br /> to violate or cancel the pioviskuis of any other slate or local law regulating construction or the performance of constructien That I an atithorized by 1 <br /> the owner of this properly to perform the work for which application Is made and I comply with the State Contractors Law 1817 RCW and H2O t <br /> WAG <br /> t <br /> 1 <br /> ' <br /> City of Everett Official Use Only <br /> PERMIT*: <br /> FA 4_'-' <br /> Ow I tiled Agent Signature Date (Revised 0112019) I <br /> i <br /> 1/2— ' <br />