10521 19TH AVE SE ALLIED TELESIS INC 2025-03-27

• FIRE ALARM PERMIT APPLICION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:10521 19th Ave SE BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ ADDITION ❑ TENANT IMPROVMENT E REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $1500 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2210-220 DESCRIBE SCOPE OF WORK: Installation of AES Radio on existing fire alarm system for the purposes of monitoring the fire alarm system. 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: ✓❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑✓ 3 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: Allied Telesis TENANT BUSINESS NAME(If Commercial): Allied Telesis OWNER MAILING ADDRESS: STREET10521 19th Ave SE CITY Everett STATE WA Z,P 98208 OWNER PHONE:206-310-5317 OWNER EMAIL:doug_barga@alliedtelesis.com CONTRACTOR NAME:Performance Systems Integration, LLC CONTRACTOR ADDRESS: sTREET301 Porter Way CITY Milton STATE WA z, 98354 CONTRACTOR PHONE:206-719-9173 CONTRACTOR EMAIL:stephen.price@psintegrated.com CONTRACTOR LIC.#(REQUIRED):PERFOSI8125O CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 61656 PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-719-9173 Stephen Price CONTACT EMAIL:stephen.price@psintegrated.com AGREEMENT I hereby certify that 1 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 1 am authorized by the owner of this property to perform the work for which application is made and/comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# sfp4 10/25/2022 FA _/)�:: // CJ � Owner/Authorized Agent Signature Date (Revised 3/6/2019) I/