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.................... <br /> qv ALARM PERMIT APPLIC�ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box <br /> WASHINGTON CONTACT INFORMATION:(P)425.257.8810((E)everetteps@everettwa.gov l(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:3715 Smith Ave BUILDING AREA: 2000 sq ft <br /> PROJECT TYPE: El NEW CONSTRUCTION ❑ADDITION ©TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑SFR El TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL <br /> `PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$750 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Low Voltage AES Radio add to existing Optex G824 panel <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 /> ❑ 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑2 Sets of Plans-Must include the following: <br /> ❑ 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: Evergreen Moving Systems TENANT BUSINESS NAME(If Commercial): Evergreen Moving Syste <br /> OWNER MAILING ADDRESS: STREET 15835 Preston Place <br /> ciry Burlington STATE WA ZIP 98233 <br /> OWNER PHONE:(425)252-7200 OWNER EMAIL:evergreenmoving@hotmail.com <br /> CONTRACTOR NAME:Guardian Security <br /> CONTRACTOR ADDRESS: STREET 1501 Kentucky Ave <br /> CITY Bellingham STATE WA ZIP 98225 <br /> CONTRACTOR PHONE:3606470110 CONTRACTOR EMAIL:amorris@guardiansecurity.com <br /> CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0033443 <br /> PRIMARY CONTACT: DOWNER ©CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:36064701 10 EX 328 <br /> Adi Morris <br /> CONTACT EMAIL:amorris@guardiansecurity.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/comply with the State Contractors Law 18.27 RCW and 296.200 <br /> WAC <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> FA ZI 0 4- - OS <br /> Own /Authorized Agent ignature Date (Revised 3/6/2019) <br />