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II <br /> FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> lki1477 <br /> ` ,.PROJECT SITE INFORMATION , ,.r' <br /> PROJECT ADDRESS:3200 Cedar St Annex 4 BUILDING AREA: 200 sq ft <br /> PROJECT TYPE: U NEW CONSTRUCTION ❑ ADDITION 7 TENANT IMPROVMENT U REMODEL <br /> BUILDING USE: Commercial <br /> PERMIT INFORMATION & DESCRIPTION OF WORK " <br /> CONTRACT PRICE OF WORK:$1000.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Replacing Non Listed dialer with an FACP for sprinkler monitoring. <br /> . ' *LAN REVIEW REQUIREMENT .m' .„ K <br /> Plan review by the Fire Department is required prior to permit issuance. <br /> Check the boxes below to indicaticate all documents that are being submitted with this permit application: <br /> 7 3 Sets of Plans showing location of fire alarm devices <br /> ✓❑ 3 Sets of Specifications for the Devices to be installed <br /> .i CONTACT INFORMATION 11;; ,.T, <br /> OWNER NAME: City of Everett TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET3200 Cedar St <br /> cin, Everett STATE WA 71, 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Western States Fire Protection <br /> CONTRACTOR ADDRESS: STREET 14690 NE 95th St#101 <br /> cm, Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE: 425-881-0100 CONTRACTOR EMAIL: seth.zehnder@wsfp.us <br /> CONTRACTOR LIC.#(REQUIRED):WESTESF906P1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 020553 <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-478-9709 <br /> Seth Zeh nder CONTACT EMAIL:seth.zehnder@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 1 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 /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> s <br /> ,�-�- =1 ,)-,)k_ FA '-OO 1 -- OO1 <br /> Owner Authorized Agent Signature Date (Revised 1/11/2019) <br />