2814 COLBY AVE JOURNEY CHURCH 2023-06-16

INN 0111ZE ALARM PERMIT APPLI.TION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-881G I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits . ° PROJECT SITE INFORMATION ' PROJECT ADDRESS:2814 Colby Ave BUILDING AREA: t CDa sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION El TENANT IMPROVMENT El REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: QCOMMERCIAL PERMIT INFORMATION'& DESCRIPTION OF WORK . CONTRACT PRICE OF WORK:$ 1400 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): E. 221 L)-- Dl(p DESCRIBE SCOPE OF WORK: installation of cellular communications on existing fire alarm panel PLAN REVIEWW 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: 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: TENANT BUSINESS NAME(If Commercial):Banya OWNER MAILING ADDRESS: STREET 2814 Colby Ave cm, Everett STATE WA ZIP 98201 OWNER PHONE: 425-252-2692 ]OWNER EMAIL:dtbanya@gmail.com CONTRACTOR NAME: BAY ALARM COMPANY CONTRACTOR ADDRESS: STREET 8229 44TH AVE W, SUITE D CITY MUKILTEO STATE WA ZIP 98275 CONTRACTOR PHONE:425-595-3953 CONTRACTOR EMAIL:DIANNA.WILLIAMS@BAYALARM.COM CONTRACTOR LIC.#(REQUIRED):BAYALAC87 JCITY OF EVERETT BUSINESS LIC.#(REQUIRED):57430 ✓ PRIMARY CONTACT: El OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-595-3953 DIANNA WILLIAMS CONTACT EMAIL: DIANNA.WILLIAMS@BAYALARM.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 spe,:ified 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;nade and/comply with the State Contractors Law 18.27 RCW and 296.200 WAC. • City of Everett Official Use Only PERMIT#: , (a // /d2 ��4l 22 FA .)-el [ 0 - 006 Owner/Authorized Agent Signature Rate (Revised 4/21/2022) 02a,ra - (.issue