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MEI <br /> FIR ALARM PERMIT APPLICATION <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: 5416 S 1st Ave BUILDING AREA: 100 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ 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:$1782 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): i- L�;- 1 <br /> DESCRIBE SCOPE OF WORK: adding cellular communicator to exisiting fire/burglar alarm system <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 /> ElBattery 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: CBI SERVICE TENANT BUSINESS NAME(If Commercial):CBI SERVICE <br /> OWNER MAILING ADDRESS: STREET 5416 S 1ST AVE <br /> cm, EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: 425-258-2731 OWNER EMAIL: <br /> CONTRACTOR NAME: BAY ALARM COMPANY <br /> CONTRACTOR ADDRESS: STREET 8229 44TH AVE, W, SUITE D <br /> ciTv MUKILTEO STATE WA ZIP 98275 <br /> CONTRACTOR PHONE: 425-595-3953 CONTRACTOR EMAIL:DIANNA.WILLIAMS@BAYALARM.COM <br /> CONTRACTOR LIC.#(REQUIRED):BAYALAC8V CITY OF EVERETT BUSINESS LIC.#(REQUIRED):57430 <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-595-3953 <br /> DIANNA WILLIAMS CONTACT EMAIL:dianna.williams©bayalarm.com <br /> AGREEMENT:/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 /> )72•11:2_ FA 2-2-0 --cam <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br /> /(;, <br />