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11111 • i
<br /> FIRE ALARM PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 88201
<br /> 0,1 42645743810 1 FAX 426457-8857 I(E)neerattepseeverettwii.gav j wok everettwa,govipermits i
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<br /> 4777/ .7 4
<br /> PROJECT ADDRESS: 3142.5 C01.134 A vi: BUILDING AREA: . ft
<br /> PROJECT TYPE: In NEW CONSTRUC now c3 ADDITION tia TENANT WPM:WENT E3 REMODEL
<br /> BUILDING USE:
<br /> \CONTRACT PRICE OF WORK:$ --??0 9 4=9-- ASSOCIATED ELECTRICAL PERMIT Ii(REQUIRED): i
<br /> DESCRIBE SCOPE OF WORK: iZE-PLACC__ P/Z6 AtAft,e0 SVS-Tc_tr•-....
<br /> '1, tr-..,"ri4r,".. ..i•.--'to,4.K-igif.1.4,,,,',.Clf.4:1‘r.,, ',.',,,,L,„±:Lf-4,J.P iILL „...i... ,4:,-.Q.,1u l';',. --zw,1:, -...%-wit.;,,,,-'-,,..,.;ik r- 2. ''',C,,,,41".V T
<br /> Plan review by the Fire Department Is required prior to permit issuance. i
<br /> Chet*the boxes below to indicaticate all documents that are being submitted with this permit application:
<br /> rit 3 Sate of Plans showing location of fire alarm devices
<br /> ,a3 Sets of SpealrAtions for the Devices to be installed
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<br /> OWNER NAME: 1-‘ovsrfAte2 I/14W cem.412,5 PiLakTENANT BUSINESS NAME(It Commercial):
<br /> OWNER MAILING ADDRESS: sent 3tZ : A
<br /> cfry LE.A.)e-at:TT sult vo A PP 9 V 240 1 I
<br /> OWNER PHONE: __TOWNER EMAIL:
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<br /> CONTRACTOR NAME: VI II- 4 f 1 la.E.
<br /> CONTRACTOR ADDRESS: irrerr '' :;? Bo* .3 71 i ,
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<br /> crry A R...t...1•Jci-on) st tkiri
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<br /> CONTRACTOR PHONE: tiaC. ?AM iq 4 5- "CONTRACTOR EMAIL: a"CrE 0._ &Qv-if]P-E:.
<br /> CONTRACTOR LIC,It(FtEouiRED): 9 H'F 1D4 e4Z..K4A) icrrY OF EVERETT BUSINESS LIC.ii(REQUIRED); C)55-G1 7
<br /> PRIMARY CONTACT: DOWNER ' CONTRACTOR 0 OTHER(Please Specify)_ _ t
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<br /> CONTACT NAME: :CONTACT PHONE: CRS' af4t4, 114146.— '',,
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<br /> - --e_pr• Re.435Arto CONTACT EMAIL: -- .EFF €b_ at.)ling
<br /> AGREEMENT:I hereby certify that I have reed 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 heroin 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 consinichon. That I me 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 296200 1
<br /> WAG
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<br /> City of Everett Official Use Only
<br /> *PERMIT*:
<br /> ‘. •.e—4 —?1)Io 12_024 FA 2107 - 00-7
<br /> OwnerlA zed Agent Signature ate '(S:wised 1t1li7019)
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