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• S <br /> ARE ALARM PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> SUBMITTAL INSTRUCTIONS:Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box <br /> WASHINGTON CONTACT INFORMATION:(P)425.257.8810 l(E)everetteps@everettwa.gov 1(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION ... <br /> PROJECT ADDRESS:2312 W.Casino Rd BUILDING AREA: 54B sq ft <br /> PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: El SFR ❑TOWNHOUSE El DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: Q COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$42000.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> install new Fire Alarm Sytem <br /> PFC 4410 RC Fire Panel <br /> 2 Manual Pull Station RMSITWPLP Red <br /> 5 Statx 1500 E Aerosol Generator 2 wall mounted horn/strobe HS 24 <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 /> El 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑✓ 2 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: Snohomish County PTBA TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET7100 Hardeson Rd <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL:jeremym@faberconstruction.com <br /> CONTRACTOR NAME:Fire Solutions NW, LLC <br /> CONTRACTOR ADDRESS: STREET PO Box 1167 <br /> CITY Allyn STATE WA ZIP 98524 <br /> CONTRACTOR PHONE:360-479-3473 CONTRACTOR EMAIL:office@firesolutionsnw.com <br /> CONTRACTOR LIC.#(REQUIRED):FIRESSN843QZ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 603555167 <br /> PRIMARY CONTACT: 'DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360-479-3473 <br /> Josh CONTACT EMAIL:office@firesolutionsnw.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 /> /40 b24 FA14124S-®®h <br /> owner/Autho' A ent Signature Date (Revised 3/6/2019) <br />