11109 16TH AVE SE 2023-06-23 - Laserfiche WebLink

mim FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:1 1 109 16th Avenue S.E BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION ❑✓ TENANT IMPROVMENT ❑✓ REMODEL BUILDING USE: ❑ SFR El TOWNHOUSE El DUPLEX ❑ ADU El MULTI-FAMILY-#OF UNITS: El COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $750 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): , Li-I L— I ci DESCRIBE SCOPE OF WORK: Installation of AES Radio to monitor FACP PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance. Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: El 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑2 Sets of Plans-Must include the following: ❑✓ Location of fire alarm devices ❑✓ Battery calculations&voltage drop calculations for notification appliance circuits ❑✓ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Everett Housing Authority TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO BOX 1547 c,T., Everett STATE WA zp 98206 OWNER PHONE:206-214-5565 OWNER EMAIL: CONTRACTOR NAME:Guardian Security Systems CONTRACTOR ADDRESS: STREET1 743 1st Avenue S c, Seattle STATE WA ZIP 98201 CONTRACTOR PHONE:206-622-6545 ext 277 CONTRACTOR EMAIL:efisher@guardiansecurity.com d 2 CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 334`F3 PRIMARY CONTACT: ❑OWNER ECONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-622-6545 EXT 277 ELIZABETH FISHER CONTACT EMAIL:EFISHER@GUARDIANSECURITY.COM 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 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 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 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 WAC. City of Everett Official Use Only PERMIT#: Peal° 11/4/2022 FA Z 1 2 - 0 I Owner/Authorized Agent Signature Date (Revised 3/6/2019)