2121 W CASINO RD WSIPC 2022-10-06

FIRE ALARM PERMIT APPLIC•"ION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box WASH Ncron CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2121 W. Casino Rd BUILDING AREA: 100 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ ADDITION ❑TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ['DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: Q✓ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 2500.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED; : [' Z2D j--G -t1.,2; DESCRIBE SCOPE OF WORK: installation of cellular communicator on existing fa/burg sec rity system 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: 0 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑2 Sets of Plans-Must include the following: ❑ Location of fire alarm devices ElBattery calculations&voltage drop calculations for notification appliance circuits ❑ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: WSIPC TENANT BUSINESS NAME(If Commercial):WSIPC OWNER MAILING ADDRESS: STREET 2121 W CASINO RD CITY EVERETT STATE WA 7IP 98204 OWNER PHONE: 425-349-6655 OWNER EMAIL: ipankratz@wsipc.org CONTRACTOR NAME:BayAlarmCompany CONTRACTOR ADDRESS: STREET 8229 44th Ave W, Suite D CITY Mukilteo STATE WA ZIP 98275 CONTRACTOR PHONE: 425-595-3953 CONTRACTOR EMAIL:dianna.williams@bayalarm.com CONTRACTOR LIC.#(REQUIRED): BAYALAC876KF CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57430 PRIMARY CONTACT: ❑OWNER EICONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425_595_3952 Josh Oberlander CONTACT EMAIL: joshua.oberlander@bayalarm.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#: S FA -2_2_05 - CoS Owner/Authorized Agent Signature Date (Revised 4/21/2022) f