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tRE ALARM PERMIT APPLI!ATION <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 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1206 SE EVERETT MALL WAY BUILDING AREA: 200 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: E COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$1200 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2207-248 <br /> DESCRIBE SCOPE OF WORK: <br /> INSTALL A WIRELESS AES COMMUNICATOR AND TIE IT INTO THE EXISTING FACP <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 /> E 2 Sets of Plans-Must include the following: <br /> In Location of fire alarm devices <br /> Q 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: BRIXTON EVERETT LLC TENANT BUSINESS NAME(If Commercial): SEARS BUILDING <br /> OWNER MAILING ADDRESS: STREET 1402 SE EVERETT MALL WAY <br /> CITY EVERETT STATE WA zip 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:FIRE PROTECTION INC <br /> CONTRACTOR ADDRESS: STREET 17410 ASH WAY , Ste 8 <br /> Croy LYNNWOOD STATE WA zip 98037 <br /> CONTRACTOR PHONE:425.290.9600 CONTRACTOR EMAIL:DAVID@FPISEATTLE.COM <br /> CONTRACTOR LIC.#(REQUIRED):FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038814 <br /> PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.290.9600 <br /> DAVID MOW <br /> CONTACT EMAIL:DAVID@FPISEATTLE.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.wil48 completed whether specified herein or not. The granting of a permit does not presume to give authority <br /> to violate or cancel the provisio 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. 's- <br /> ,,,,y City of Everett Official Use Only <br /> � f wW'°'"-� PERMIT#: <br /> „v./ <br /> �� 07/29/22 <br /> FAzz97-ecizi <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />