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10515 EVERGREEN WAY 2023-04-06
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10515 EVERGREEN WAY 2023-04-06
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Last modified
4/6/2023 2:30:34 PM
Creation date
4/6/2023 2:30:23 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
10515
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• 4110 <br /> FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 08201 <br /> (P)42fi.257-8810 I FAX 42646?-8657 I(El everensps@overettwagov; wsei.eivereitwe gpannini <br /> PROJECT ADDRESS: JoSis— et/f..geateEtU WA BUILDING AREA: It <br /> PROJECT TYPE: 0 NEW CONSTRUCTION Cl ADDITION la TENANT IMPROVMENT 13 REMODEL <br /> BUILDING USE <br /> • WAPE. '. <br /> CONTRACT PRICE OF WORK:$ -7-eoe.7 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): I <br /> DESCRIBE Sa3PE WORK1 /6157,0 LA- t"vArTika, At-A(4"-N AX2- 1A%1 <br /> 1 7 <br /> t Dc>1 <br /> 4• - ,0 • <br /> Plan review by the Fire Department is required prior to permit issuance: <br /> Check the boxes below to indiceticate all documents that are being submitted with this permit application; <br /> .4: 3 Sets of Plans showing location of fire alarm devices <br /> 3 Sets of Specifications for the Devices to be installed <br /> ni k <br /> OWNER NAIVE: _ TENANT austmess NAME It Commercial : - LAN <br /> OWNER MAILING ADDRESS: seer 0 E • EN ‘,..4A‘i <br /> or/ E:ve:-Tte7 sun NA ci"6201-i,„„ <br /> OWNER PRONE: OWNER EMAIL: <br /> te. <br /> 'CONTRACTOR NAME: g <br /> cowrRACTOR ADDRESS: STREET rep —9.70% <br /> CITY Erffilli <br /> CONTRACTOR PHONE: lizT Z144 if#4 s- CONTRACTOR EMAIL: "rt:FF e <br /> CONTRACTOR LIC. EGUIRED): )9SStfz. CITY OF EVERETT BUSINESS UC.*REQUIRED 0S-5" <br /> PRIMARY CONTACT: 0 OWNER '4.;i CONTRACTOR 0 OTHER(Please Specify) . <br /> ICONTADT NAME: 'CONTACT PHONE: 112g. Z144 /(4 45. <br /> —S'Ef F & fA,zc CONTACT EMAIL: -seFF et.)}.1 C.f.)v'•••• <br /> AGREEMENT:I hereby certify that I have read and twain:oleo this appiketion and know the same lobe tile end coned All provisions of laws and <br /> ordinances governing this two of work will be completed whether specified herein o r not. The granting of a permit does not presume to give authority <br /> to violate or carkall the mrsitsintia of any other stated?'local law regulating construction or the parkirmance Of construchen, That lam StifrAttied by <br /> the owner of this property to perform the work for which appiication is made and!convey with the State Contractors Law I8.2?RCW end 296,200 <br /> WAG. <br /> City of Everett Official Use Only <br /> PERMIT ft, <br /> 12-2-19 FA 1 °1 \ (2- Do <br /> Ow Authorized Agent Signature Date Mov)sed tit f/2(f9) <br />
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