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LILI E ALARM PERMIT APPLILTION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box <br /> WASHINGTON CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (fri )O PROJECT SITE INFORMATION <br /> PROJECT ADDRESS West Casino Road Building 1 Everett,WA. 98204 BUILDING AREA: 13,350 sq ft <br /> PROJECT TYPE: 0 NEW CONSTRUCTION El ADDITION Q TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS:15 ❑COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$420.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2208-161 <br /> DESCRIBE SCOPE OF WORK: Install leased AES radio and smoke detector in place of failing phone lines at builiding 1 <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 /> LI 2 Sets of Plans-Must include the following: <br /> El Location of fire alarm devices <br /> ❑ Battery calculations&voltage drop calculations for notification appliance circuits <br /> 0 Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFORMATION <br /> OWNER NAME:Impact Association Management TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREEr9506 4th St NE, #101 <br /> CITY Lake Stevens STATE WA ZIP 98258 <br /> OWNER PHONE:425-949-4554 !OWNER EMAIL:ceadrwest@impacthoa.com <br /> CONTRACTOR NAME:AAA Fire Protection <br /> CONTRACTOR ADDRESS: STREET3013 3rd Ave N. <br /> CITY Seattle STATE WA ZIP 98109 <br /> CONTRACTOR PHONE:206-284-1721 CONT RA.C) <br /> TOR EMAIL:erik@aaafire.com <br /> CONTRACTOR LIC.it(REQUIRED) 82Mtatat CITY OF EVERETT BUSINESS LIC.#(REQUIRED):027647 <br /> PRIMARY CONTACT: DOWNER ['CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-595-1716 <br /> Erik Barker CONTACT EMAIL:erik@aaafire.com <br /> AGREEMENT:I hereby certify that!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 /> fir. 8-17-2022 FA22*- 005 <br /> Owner/Authorized Agent nature Date (Revised 4/21/2022) <br /> /Z <br />