Laserfiche WebLink
• <br /> E FIRE ALARM PERMIT APPLICtION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: \1 U'31;--) !(o(; - BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ADDITION El TENANT IMPROVMENT CI REMODEL <br /> BUILDING USE: 0 SFR El TOWNHOUSE DUPLEX ❑ADU 0 MULTI-FAMILY-#OF UNITS: JJ COMMERCIAL <br /> PERMIT INFORMATION.& DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ ' OO ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: .`x,p �\( e'\; �. p ^(�I o,0\wGJ (\ U\1:k\( (��- <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 /> ❑3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑3 Sets of Plans-Must include the following: <br /> ❑ Location of fire alarm devices <br /> ❑ Battery calculations&voltage drop calculations for notification appliance circuits <br /> ❑ Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT BUSINESS NAME(If Commercial): ‘/-j1 (`VI\ \ic \ Cb <br /> OWNER MAILING ADDRESS: STREET 1,1�/le' . _C.1- ((Dor- ` cl . <br /> CITY IN V Y Y 6'r STATE ''�,'tt- ZIP WZ7-)1t <br /> OWNER PHONE:my-5)3 -c-37,0 OWNER EMAIL: <br /> CONTRACTOR NAME:b\Aa([ l(ji( CIA Otil 6prOt5 <br /> CONTRACTOR ADDRESS: STREET \1*h VA- ' . <br /> CITY *.f,A k_Q STATE U v'k ZIP "1n\ <br /> PHONE. CONTRACTOR EMAIL• )Y('t i �' Z( t kCly kia9'\� 'LGX 1)`CV <br /> CONTRACTOR ���,� ����,-!�}��� �� k � �CONTRACTOR LIC.#(REQUIRED)MM 5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):T7-&-k 7) <br /> PRIMARY CONTACT: 0 OWNER ( CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: DO) l 0.—\ 3 L( r <br /> �;�� � <br /> ;�����Pk -���c'f �rl��� CONTACT EMAIL:r, '�o�c�u �tiovCc�tr� r�Uu�t.ic� �ct.�r�� -cam <br /> AGREEMENT:I hereby certify t t I 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 /> %-.)-4,kc.,. <br /> I Ck \\9 k ri22v FAZIO \ — 00 G <br /> Owner/Authoriz d Age v Signature Date (Revised 4/15/2019) <br /> !/2, <br />