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112 9110E ALARM PERMIT APPLI.TION <br /> V E R E T T 32 CITY OF EVERETT PERMIT SERVICES <br /> E00 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 l FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:6300 Merrill Creek Pkwy B-100 BUILDING AREA: 1500 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:$2500 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Add one relay in IT room near new access control panel to release the mag lock doors on FA signal. <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: SAFRAN TENANT BUSINESS NAME(If Commercial): Merrill Creek Bldg <br /> OWNER MAILING ADDRESS: STREET6300 Merrill Creek Pkwy B-100 <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE:4257013303 OWNER EMAIL: <br /> CONTRACTOR NAME:Performance Systems Integration, LLC <br /> CONTRACTOR ADDRESS: STREET19310 North Creek Pkwy Ste 109 <br /> CITY Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:206-719-9173 CONTRACTOR EMAIL:stephen.price@psintegrated.com • L 10141'6 <br /> CONTRACTOR LIC.#(REQUIRED):PERFOSI81250 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): - <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-719-9173 <br /> Stephen Price CONTACT EMAIL:stephen.price@psintegrated.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 lam 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 /> / 9/2 l FA 2 I t 0 - o© <br /> I <br /> dwner uthorized Agent Signature Date (Revised 3/6/2019) <br /> 11 <br />