|
• 0
<br /> 0/4e*--
<br /> 406, , ,.....4 FIRE ALARM PERMIT APPLICATION
<br /> „.„,;
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> (P)425-257•-8810 I FAX 425-267-8857 I(E)everettepstWierettwa,gov I www etierettwe cloy/permits
<br /> PROJECT ADDRESS; 22-02. )(30-s"w si si.....) BUILDING AREA: sq fit
<br /> PROJECT TYPE: 0 NEW CONSTRUCTION 0 ADDITION Sit TENANT IMPROVMENT 1:3 REMODEL
<br /> BUILDING USE:
<br /> tr',$:•22:737211:4M.,'"fr.1177.21CalIZIZ!,,C,4.41M.,W..X0E.: 4‘«LI.O.Z7:2:ZZLEZErr'ACIP4r'alitiZOS710
<br /> CONTRACT PRICE OF WORK:$ H I U c.? e'.-23- ASSOCIATED ELECTRICAL PERMIT K(REQUIRED): V2:2.02.-ol-Z-,--
<br /> DESCRIBE SCOPE OF WORK: "TervA NTT I:A L)/L 0 or 0i; OFF/C- - At2-Cik
<br /> ,... ,
<br /> "f::;..AZ'iZ--itA,kijigtV„W:711ie:•:,t'',V,7,.;1'ffU 1 W-715 liaLUMUi,zi).---: irik-''' ' .--A;'14::Iti.',a1:17:4123412#14
<br /> Plan review by the Fire Department Is required prior to permit Issuance.
<br /> Check the boxes below to indicaticate all documents that are being submitted with this permit application:
<br /> 1,1 3 Sets of Plans showing location of fire alarm devices
<br /> 1 3 Sets of Specifications for the Devices to be installed
<br /> A0 71,r:reT:37171:: 7,,sr:1-,-,-:::,i-1 .,, -00: ,$)400. ,,,:,.. .44.m...,,,,,,..:::,,,,-)-:,..:-.-
<br /> OWNER NAME: N/P-PORT /CAD LI-e— TENANT BUSINESS NAME(It CommerciaprToo L124,S5 pLA 511 c.5
<br /> OWNER NIAILING ADDRESS: STREET R., BO X i 2_4 3
<br /> COY f-D t,-,o'JO 5 STATE W A 7.1.= 9 isozo
<br /> OWNER PHONE:2176 61,00 9 3S 3 OWNER EIVIAIL:
<br /> 1
<br /> CONTRACTOR NAME: 53 .1-3 "F
<br /> CONTRACTOR ADDRESS smarm 'Po Re..)< 3-1 I)
<br /> ON iX1-2.t.-tiO(nNot%) $tAlt.,. INJ Pk
<br /> .,,
<br /> CONTRACTOR PHONE: 4 2S 249_P49 5- iCONTRACTOR EMAIL: -S'EPF @, SO i4'5 r 2..t .CU YV"\
<br /> CONTRACTOR LIC,#REQUIRED: r3 r 1 f. 23ii"2 CITY OF EVERETT BUSINESS LIC.11(REQUIRED): 0 55%, ---)
<br /> t
<br /> PRIMARY CONTACT: DOWNER i3(CONTRACTOR 0 OTHER(Please Specify)
<br /> •., "
<br /> CONTACT NAME: CONTACT PHONE: 426- z..44-) 1 14 y s"
<br /> -Z3 Pi.)sesAftc) CONTACT EMAIL: --1St.F.F qa, 1214%)Vi Plat.c()Y1.-
<br /> t.'
<br /> AGREEMENT:I hereby certify that I have reed arid examined this application and know the seine to be true and correct. Ali provisions°flews and t-
<br /> tt,
<br /> ordinances governing This type of work will be completed whether specified heroin oi not. The granting of a permit does not presume to give authority ft
<br /> to violate or cancel the provisions of any other state or boat law regulating construction or the performance of constrOofiOn. That!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 1627 ROW and 296.200 I
<br /> ,1
<br /> WAC '--
<br /> .,.F.... :?'
<br /> City of Everett Officlat Use Only
<br /> ;PERNIIT ilk ,
<br /> Owner/ h fixed Agent Signature Date '(ilovised L/117019)
<br /> y
<br />
|