12906 19TH AVE SE IN N OUT PHO 2023-06-13

FIRE ALARM PERMIT APPLICFION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:12906 BOTHELL-EVERETT HWY,SUITE B BUILDING AREA: 1242 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT ❑ REMODEL ram, BUILDING USE: El SFR ❑TOWNHOUSE 7 DUPLEX ADU ❑ MULTI-FAMILY-#OF UNITS: ��I COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$2931 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):TBD(APPLICATION ATTACHED) DESCRIBE SCOPE OF WORK: THE SCOPE OF THIS PROJECT IS TO ADD NOTIFICATION AND INITIATING DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT 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: ❑✓ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑✓ 3 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: FRED MEYER STORES INC TENANT BUSINESS NAME(If Commercial): IN & OUT PHO OWNER MAILING ADDRESS: STREET 1014 VINE ST, FLOOR 7 CITY CINCINNATI STATE OH ZIP 45202 OWNER PHONE:N/A OWNER EMAIL:N/A CONTRACTOR NAME:SMITH FIRE SYSTEMS CONTRACTOR ADDRESS: STREET 1106 54TH AVE E c,n TACOMA STATE WA ZIP 98424 CONTRACTOR PHONE:253-248-2051 CONTRACTOR EMAIL:RBENNETT@SMITHFIRE.COM CONTRACTOR LIC.#(REQUIRED):SMITHFS861 RS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 23577 PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-248-2051 RACHEL BENNETT CONTACT EMAIL:RBENNETT@SMITHFIRE.COM 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 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#: RACHEL BENNETT 4/28,'22 FA ` 5 - Q Owner/Authorized Agent Signature Date (Revised 3/6/2019)