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• • <br /> FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1800 41st Street BUILDING AREA: 2500 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:$11250 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2202-043 <br /> DESCRIBE SCOPE OF WORK: <br /> Modify existing fire alarm system Frontier Bldg Level 3 VOA Offices. (15) Devices. Joint venture between Johnson Controls <br /> Fire Protection and Amped Electric. <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: 1800 41st St LLC TENANT BUSINESS NAME(If Commercial): VOA OFFICES <br /> OWNER MAILING ADDRESS: sTREET1800 41st St Ste 210 <br /> c,n Everett STATE WA zip 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:JOhr1SO11 Controls Fire Protection <br /> CONTRACTOR ADDRESS: STREEI9520 10th Ave S. Suite 100 <br /> CITY Seattle STATE WA z,p 98108 <br /> CONTRACTOR PHONE:206-291-1400 CONTRACTOR EMAIL:janet.stebbins@jci.com <br /> CONTRACTOR LIC.#(REQUIRED):JOHNSCP831 PR CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 6021 13334 <br /> PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-777-4828 <br /> Janet Stebbins CONTACT EMAIL:janet.stebbins@jci.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 /> WA C. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> Janet Stebbins for JCFP 03/11/2022 FA 0 3 0 01 <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br />