10809 16TH AVE SE 2023-06-23 - Laserfiche WebLink

ORE ALARM PERMIT APPL&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)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:10809 16th Ave Se Everett, WA 98209 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION Q TENANT IMPROVMENT LJ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ITDUPLEX ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$750 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: Instillation of AES Radio to monitor exsisting fire alarm panel 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: ✓❑ 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) a✓ 2 Sets of Plans-Must include the following: O Location of fire alarm devices ❑✓ Battery calculations&voltage drop calculations for notification appliance circuits ❑r 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: STREETPO Box 1547 CITY Everett STATE wa ZIF 98206 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:GUardlafl Security CONTRACTOR ADDRESS: STREET 1743 1st Ave S CITY Seattle STATE WA ZIP 981 34 CONTRACTOR PHONE:206-622-6545 x285 CONTRACTOR EMAIL:efisher@guardiansecurity, kebner@guardiansecurity.com CONTRACTOR LIC.#(REQUIRED):GUardSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):i;l) i I J PRIMARY CONTACT: OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-622-6545 x285 Krystal Ebner CONTACT EMAIL:efisher@guardiansecurity.com. kebner@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#: Krystal Ebner 2/21/2023 ,�FA C 1. Owner/Authorized Agent Signature Date (Revised 4/21/2022)