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LI F* ALARM PERMIT APPLI9TION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 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: )(6 0/2/ i l/Y I//C{lg ?kv1/4;,/li )j JV'9y�/f" BUILDING AREA: :1.1 24 0 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ElADDITION 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:$ 21 (F,(' ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): '/ /5 0 <br /> DESCRIBE SCOPE OF WORK_ -The' e SCt✓pe o! -H1 i 5!;v,,e�f" � Ko f(a e, e <br /> eiXf 47119 .-/ re IS-t r Y .. 'Lnd e'/V f <br /> J / <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 /> Chec the boxes below to indicaticate all documents that are being submitted with this permit application: <br /> 3 ets 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 /> 2 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):,S'EAVVAfL/ UT 2-C, (-L-C, <br /> OWNER MAILING ADDRESS: STREET P r 0. 'O 9( 2-6 2, ! _ _ <br /> CITY .5•h oreq f ILL- STATE ,A) / 9, ZIP 1 e l (O <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Sp) i f 12 e 5 (t 5 i ft S <br /> CONTRACTOR ADDRESS: STREET /10 & 1 }C'-f f t., c�7 <br /> CITY TA� v1 STATE i S ZIP fll 4/2_q <br /> CONTRACTOR PHONE: 2 3 ?ki�� .�4/ CONTRACTOR EMAIL: fbe,v,jie ,�✓ sir or,f7e. C. )h <br /> CONTRACTOR LIC.#(REQUIRED)k5JI4✓/7--K e&-i i s CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 2.;41-74— <br /> PRIMARY CONTACT: DOWNER ,CONTRACTOR ❑OTHER(Please Specify)t <br /> CO TACT NAME: CONTACT PHONE: 2 3- )-1 0 �- / js1 <br /> ei <br /> "G(Jj1 i/ EVIvitetl CONTACT EMAIL: rbcriie,( '),s-ni/TI'x l i _ :lD0,.ti <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 /> / , _-----1/6 _ 42,:_tizi... 2 FA ZZ6 bC) I <br /> Ow er/Authorized Agent Signature Date (Revised 3/6/2019) <br />