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mei <br /> IRE ALARM PERMIT APPLIATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <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 I(E)everetteps@everettwa.gov I (W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1525 75th St SW BUILDING AREA: 28085 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:$4250 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2106-141 <br /> DESCRIBE SCOPE OF WORK: <br /> Demo existing fire alarm smoke detectors. Relocate existing notification devices. Install new notification devices. <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 /> ❑ 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: Comcast Everett FFo TENANT BUSINESS NAME(If Commercial): COmCaSt <br /> OWNER MAILING ADDRESS: STREET 1 525 75th St SW <br /> CITY Everett STATE WA zip 98203 <br /> OWNER PHONE:4258216747 OWNER EMAIL: <br /> CONTRACTOR NAME:Fire Systems West, Inc. <br /> CONTRACTOR ADDRESS: STREET206 Frontage Rd N Suite C <br /> CITY Pacific STATE WA zip 98047 <br /> CONTRACTOR PHONE:253-833-1248 CONTRACTOR EMAIL:camryno@firesystemswest.com <br /> CONTRACTOR LIC.#(REQUIRED):FIRESW1055LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 022919 <br /> PRIMARY CONTACT: DOWNER DCONTRACTOR OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-431-5860 <br /> Cam ryn O I iva rez CONTACT EMAIL:camryno©firesystemswest.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 1 comply with the State Contractors Law 18.27 RCW and 296.200 <br /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> ,v 06„7,2021 FA D( "_o <br /> Owner/4 horized Agent 1 nature Date (Revised 3/6/2019) <br />