10710 EVERGREEN WAY 2023-04-10 - Laserfiche WebLink

OR E ALARM PERMIT APPLIAPTION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.govI www.everettwa.gov/permits p� k U PROJECT SITE INFORMATION PROJECT ADDRESS: CASABLANCA-F-14 EV2rareen Way BLD I- BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 1000 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: REPLACING AN EXISTING FIRE ALARM PANEL 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: ❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑3 Sets of Plans-Must include the following: ❑ Location of fire alarm devices ❑ Battery calculations&voltage drop calculations for notification appliance circuits ❑ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 'RO-COMM Rr("Cet.Tlw"— (k))23 CONTRACTOR ADDRESS: STREET 1 9630 40TH AVE W CITY LYNNWOOD STATE WA zip 98036 CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): PROTECI1 655L8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): )6474 PRIMARY CONTACT: ❑OWNER ]CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: AMANDA CONTACT PHONE: 425-774-9099 HOPKINS CONTACT EMAIL: Amanrlah@Procnmmwa_ corn AGREEMENT:1 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 erform 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#: 9-1 1-2020 FA Z 2C \ Owner/Authorized Agent Signature Date (Revised 3/6/2019) I/ z