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FOE ALARM PERMIT APPLI•TION <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 I(E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:2320 CALIFORNIA ST BUILDING AREA: 500 sq ft <br /> PROJECT TYPE: I-I NEW CONSTRUCTION ❑ ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $1,850.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> PROVIDE MATERIAL AND PROGRAMMING OF 2) W/P HEAT DETECTORS AND MON. MODULES FOR ELEV PIT. <br /> ELECTRICAL WORK DONE BY OTHERS. <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 Specifications 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 /> ❑✓ 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: Public Utility Dist Sno CO TENANT BUSINESS NAME(If Commercial): PUD <br /> OWNER MAILING ADDRESS: STREET 2320 California St <br /> CITY Everett STATE WA Z,P 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Western States Fire Protection <br /> CONTRACTOR ADDRESS: sTREET 14690 NE 95th St Ste 101 <br /> Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:4258810100 CONTRACTOR EMAIL:Jules.mayer@awsfp.us <br /> CONTRACTOR LIC.#(REQUIRED):WESTESF906P1 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 020553 <br /> PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:4254294240 <br /> Jules Mayer CONTACT EMAIL:jules.mayer@wsfp.us <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 /> ,,,,5,202, FA \ \ _ 00°1 <br /> Owher/Authorized Agent Signature Date (Revised 3/6/2019) <br />