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IRE ALARM PERMIT APPLIRTION <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 /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:2831 Colby Avenue BUILDING AREA: 600o sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION ❑✓ TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$6240 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2211-050 <br /> DESCRIBE SCOPE OF WORK: Install new fire alarm power supply and new notification devices <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 /> El2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑✓ 2 Sets of Plans-Must include the following: <br /> en 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: HERITAGE BANK TENANT BUSINESS NAME(If Commercial): HERITAGE BANK <br /> OWNER MAILING ADDRESS: STREET3615 PACIFIC AVE <br /> cm, TACOMA STATE WA zip 98418 <br /> OWNER PHONE:360-570-9856 OWNER EMAIL: <br /> CONTRACTOR NAME:FIRE SYSTEMS WEST <br /> CONTRACTOR ADDRESS: STREET206 FRONTAGE RD N SUITE C <br /> CITY PACIFIC STATE WA ZIP 98047 <br /> CONTRACTOR PHONE:253-833-1248 CONTRACTOR EMAIL:CAMRYNO@FIRESYSTEMSWEST.COM <br /> CONTRACTOR LIC.#(REQUIRED):FIRESWIO55LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED):022919 <br /> PRIMARY CONTACT: DOWNER CONTRACTOR OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-431-5860 <br /> CAM RYN CONTACT EMAIL:CAMRYNO@FIRESYSTEMSWEST.COM <br /> 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 <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 /> ea4/174, 0/41."-allAg 10/19/2022 FA "Z Z 1 1 _ i D <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br /> / <br /> Z <br />