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"' ORE ALARM PERMIT APPLIAITION <br /> CITY,)1-.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:(F)425-25'-3810 I(E)PermitServir:es@everettwa.gov I(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 6500 Evergreen Way jBUILDING AREA: 500 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT El REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ 3000 ASSOCIATED ELECTRICA: PERMIT#(REQUIRED): f 22Q 6t--O`Z( <br /> DESCRIBE SCOPE OF WORK: hook up ansul suppression system to existing fire alarm system <br /> PLAN REVIEW REQUIREMENT <br /> Plan review by the Fire Department is required prior to permit issJance Confirm the required items are included by checking the boxes: <br /> Check the boxes below to indicaticate all documents that are being stiomitted with this permit application: <br /> a✓ 2 Sets of Specifications for the Devices to be installed (Equipme-ft technical data sheets) <br /> ❑✓ 2 Sets of Plans-Must include the following: <br /> 0 Location of fire alarm devices <br /> ElBattery calculations&voltage drop calculations for notification appliance circuits <br /> El Sequence of operation in either an input/output matrix or nai rative form <br /> CONTACT INFORMATION <br /> OWNER NAME: AGE Investments TENANT BUSINESS NAME(If Commercial):Central Body Works <br /> OWNER MAILING ADDRESS: STREET 1101 Ave D D-201 <br /> Snohomish STATE WA zip 98290 <br /> OWNER PHONE: 360-862-9500 OWNER EMAIL koby@wcxlerpropertygroup.com <br /> CONTRACTOR NAME: Bay Alarm Company <br /> CONTRACTOR ADDRESS: STREET 8229 44th Ave Suite D <br /> CIrY Mukilteo STATE WA 7,P 98275 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):BAYALAC876KF CITY OF EVERETT BUSINESS LIC.#(REQUIRED):57430 <br /> PRIMARY CONTACT: ❑OWNER EICONTRACTOR ❑01 HER(Please Specify) <br /> CONTACT NAME: , CONTACT PHONE: 425.595-3953 <br /> Dianna Williams CONTACT EMAIL: dianna.williams@bayalarm.com <br /> AGREEMENT:I hereby certify that I have read and examined this application anc 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 regulatirg 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 ccmply with the State Contractors Law 18.27 RCW and 296.200 <br /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> FA 22 01 'D M <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br /> d-(), v �- )7 <br />