2707 COLBY AVE INTERNAL REVENUE SERVICE 2023-04-06

ORE ALARM PERMIT APPLIATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box wASHINO70N CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices©everettwa.gov I(W)everettwa.gov/permits 7I\ PROJECT SITE INFORMATIONOR - PROJECT ADDRESS: (V1 C0\b(1 1-1Vl,n�/e SCE •vim BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ®TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: BCOMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK ``7 CONTRACT PRICE OF WORK:$ 2 (00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): ] DESCRIBE SCOPE OF WORK: '22,O2-19( 60 V•ektakeLE exist-MCI rive alarm R !V cicvlceS 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: is of Specifications for the Devices to be installed (Equipment technical data sheets) f2 Sets of Plans-Must include the following- In'-location of fire alarm devices 17rQattery calculations&voltage drop calculations for notification appliance circuits L'(Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: S ., cS O\ TENANT BUSINESS NAME(If Commercial): 1S OWNER MAILING ADDRESS: STREET cITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: F)A- r1 Fire CONTRACTOR ADDRESS: STREET 'PO 3� CITY is h ton ,,l STATE � ZIP 9$23 CONTRACTOR PHONE: 1125,2L(4 .I titIC C NTRACTOR EMAIL: )e 4 (W Q� )1-1 f .COIY\ CONTRACTOR LIC.#(REQUIRED): j�►a 1(kv\T-V-1 Z K W CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0 CDSWgI PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: f ( CONTACT PHONE: j2 2L4 q , ? l Lf 4'Fj )e OEEQ 9 CONTACT EMAIL: '✓1 0. MO E! - CGI Yn , 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: l� �22 FA�L2 0 COL' Signature D r/ uthorized Agent ate I3/ (Revised 4/21/2022) E -- Do),,)- �z