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• <br /> FE ALARM PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:6920 Seaway Blvd BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$7,800.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E1911-170 <br /> DESCRIBE SCOPE OF WORK: <br /> Revise existing fire alarm system to reflect TI revisions to POD"C"2nd floor using new NAC power supply and SLC circuit <br /> from existing FACP transponder panel via new Data Loop Card <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 /> 0 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑✓ 3 Sets of Plans-Must include the following: <br /> 0 Location of fire alarm devices <br /> 0 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: Fluke TENANT BUSINESS NAME(If Commercial): Fluke <br /> OWNER MAILING ADDRESS: STREET6920 Seaway Blvd <br /> CITY Everett STATE WA ZIP 98026 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Siemens Industry <br /> CONTRACTOR ADDRESS: STREET 15900 Eastgate Way,Suite 200 <br /> C,TY Bellevue STATE WA ZIP 98008 <br /> CONTRACTOR PHONE:800-952-6348 CONTRACTOR EMAIL:seattiefireengineering.us@siemens.com <br /> CONTRACTOR LIC.#(REQUIRED):SIEMEII919PP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019927 <br /> PRIMARY CONTACT: DOWNER Z CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-507-4353 <br /> Bruce Gardner CONTACT EMAIL:bruce.gardner@siemens.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 I 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 /> rZ/2/1 FA <br /> 9 <br /> O er/Authorized A en ' ature Dfite 1 (Revised 3/6/2019) <br /> /2 <br />