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FIRE ALARM PERMIT APPLICATION <br /> OLT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1300 44th St. SE, Everett, WA BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $2900 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Installation of AES radio and Replacement fire alarm panel. <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 /> ❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑3 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: TENANT BUSINESS NAME(If Commercial): Cornerstone Prosthetics <br /> OWNER MAILING ADDRESS: STREET 1300 44th St SE <br /> CITY Everett STATE WA ZIP 98023 <br /> OWNER PHONE:206-605-6642 OWNER EMAIL: <br /> CONTRACTOR NAME:Washington Alarm Inc <br /> CONTRACTOR ADDRESS: STREET 2030 Airport Way S <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE:206-328-3288 CONTRACTOR EMAIL:permits@washingtonalarm.com <br /> CONTRACTOR LIC.#(REQUIRED):WASHIA1282C3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 025389 <br /> PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-436-5300 <br /> Treyve n Chin CONTACT EMAIL:permits@washingtonalarm.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 /> (1.6(4r; <br /> icte FA2 o — � 0 <br /> Own Authorized Agent Signature Date (Revised 3/6/2019) <br /> 1i <br />