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FIRE ALARM PERMIT APPLICATION <br /> E V E R E T T 32 CITY OF EVERETT PERMIT SERVICES <br /> 00 CEDAR STREET,EVERETT,WA 98201 <br /> WASHtNOTON (P)425-257-8810 I FAX 425-267-8857 I(E)everetteps©everettwa.gov I www.everetlwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: �, ~ �"� �'' EV. _BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT El REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-II OF UNITS: ❑COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ cC)l---\ ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: 'kV-3k_ c:\\'.-rlcy\/\ 5 <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 /> ❑3 Sets of Specificat ons for the Devices to be Installed (Equipment technical data sheets) <br /> ❑3 Sets of Plans-Must include the following: <br /> ❑ Location of fire alarm devices <br /> El 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 VV L.- <br /> OWNER NAME: �`Z�i -t TENANT BUSINESS NAME (If Commercial): +ratite+■ m. "--0) _ <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ?JP <br /> OWNER PHONE:1.-k `=j ' 43(S`r)-,•c)4-,1 OWNER EMAIL: <br /> CONTRACTOR NAME: l : I\c—)1 L ��C C- -v��� `- C-' w/1 •,� -1 ,) <br /> CONTRACTOR ADDRESS: STREET\�C% '\ Cskr-s)c C V t- <br /> CITY \V STATE ZIP).':?.) ,A,r2) <br /> CONTRACTOR PHONE O., CONTRACTOR EMAIL:\/t CO-C.-AL <br /> 11 <br /> CONTRACTOR LIC.#(REQUIRED))\ 4t„c,c,t,� cle CITY OF EVERETT BUSINESS LIC.#(REQUIRED): C-)TYt C, <br /> PRIMARY CONTACT: DOWNER ( Q,,CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: . �-] . . Q. <br /> V-)\ CONTACT EMAIL:\l t '1 '1\ riN c3 v�--� t `C"'1k <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 of local law regulating construction or the performance of construction. 'Thal 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 /> CA,FA 25DOS _ <br /> Owner/Aut orfzed A,entjgnatura Date (Revised(Revised3/6/2019) <br /> i <br />