515 SE EVERETT MALL WAY BASE FILE 2022-10-10

M • • FIRE ALARM PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 5)5 5 Eve1€- N1cm) way BUILDING AREA: _sq ft PROJECT TYPE: El NEW CONSTRUCTION %ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 600.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): $r \g og-0OO ' DESCRIBE SCOPE OF WORK: IY-1,,c'k-Q\\ CI) AES 'cQdio ko rconiA-or FP( 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: ❑3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑3 Sets of Plans-Must include the following: ❑ Location of fire alarm devices ❑ Battery calculations&voltage drop calculations for notification appliance circuits ❑ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: DOU9 c6ear P� a,-'ocI W`c TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET IDJO N N O\ 1 V Fes. way S{/�JU1f, SO2 CIT Y PoVti t l fld STATE 1 ZIP 61(z-zo Uy��y OWNER PHONE: 5 . 22-2 .0100 OWNER EMAIL: CONTRACTOR NAME: C vQ1 d I an security &QV 1 tS CONTRACTOR ADDRESS: STREET Il L4�1 1i ��/� �//� �5 Rvej �/.�}- Q� CITY sea STATE • \ CI (7 �u CONTRACTOR PHONE: '20(o.lO l2. S CONTRACTOR EMAIL: �' h �. 0aArd Io r se CU'i .C orn CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: DOWNER CONTRACTOR ❑OTHER(Please Specify) 1� CONTACT NAME:ME �j�+ ��r- CONTACT PHONE: �(o , �ZL tQ JAI5 �,�t�(�-�y2�.�T7 fly ^ I1 VL,,m 1 �`�h U CONTACT EMAIL: tfi Shr( iay-do�-1 t geck f I J .`O1 1 1 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: ..tikr 1 I Owner/ uthorized Agen Signature Date (Revised 3/6/2019) (‘1\ 1 19 /7