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• <br /> FIRE ALARM PERMIT APPLIATION ,y; I -7-, 0400 <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 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:1 509 California St BUILDING AREA: 2000 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR El TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: _ ✓❑ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$700.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):APPLYING FOR <br /> DESCRIBE SCOPE OF WORK: <br /> INSTALLATION, PROGRAMMING, AND TESTING OF NEW FIRE ALARM WIRELESS AES RADIO COMMUNICATOR. <br /> THE BUILDING IS NON-SPRINKLED AND HAS AN EXISTING ADRESSABLE FIRE ALARM SYSTEM. <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: DAWSON PLACE TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1509 CALIFORNIA ST <br /> CITY EVERETT STATE WA zip 98201 <br /> OWNER PHONE:425.789.3000 OWNER EMAIL:LORI.VANDERBURG@DAWSONPLACE.ORG <br /> CONTRACTOR NAME:FIRE PROTECTIO, INC <br /> CONTRACTOR ADDRESS: STREET PO BOX 12642 <br /> c,T., MILL CREEK STATE WA z,P 98082 <br /> CONTRACTOR PHONE:425.290.9600 CONTRACTOR EMAIL:DAVID@FPESEATTLE.COM <br /> CONTRACTOR LIC.#(REQUIRED):FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 038814 <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: DAVI D MOW CONTACT PHONE:425.290.9600 <br /> CONTACT EMAIL:DAVID@FPISEATTLE.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 /> FA <br /> 3/2/2022 <br /> Owner/Au`Thorize Agent'Signature Date (Revised 3/6/2019) <br /> K <br />