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FIRALARIUM PERMIT APPLIC•ON <br /> `� CITY OF EVERETT PERMIT SERVICES <br /> L V�e E E 1, A 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WnSHIHGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everelteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1415 75TH ST SW BUILDING AREA: 125,000 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION ❑✓ TENANT IMPROVMENT El REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ® DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $23,000.00 ASSOCIATED ELECTRICAL PERMIT It(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> ADD 2) FIRE ALARM BOOSTER PANELS, 56) AUDIO/VISUAL FIRE ALARM NOTIFICATION <br /> DEVICES, 2) SMOKE DETECTOR AND 2) CONTROL MODULE TO EX FA SYSTEM. <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 /> El3 Sets of Plans-Must include the following: <br /> ElLocation of fire alarm devices <br /> C Battery calculations&voltage drop calculations for notification appliance circuits <br /> ElSequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFORMATION <br /> OWNER NAME: EVERETT TECH PARK II TENANT BUSINESS NAME(If Commercial): US HELION ENERGY <br /> OWNER MAILING ADDRESS: STREET 1415 75TH ST SW <br /> c,T,, Everett STATE WA ZP 98203 <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:juies.mayer@wsto.us <br /> CONTRACTOR LIC.#(REQUIRED):WESTESF906P1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 20553 <br /> PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-429-4240 <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 /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> O"gttally signed by Jules Mayer <br /> DV:CN_Jules Mayer,OU=Users,OU=Redmond WA. ///��� Lr-7m�LLL <br /> J u l e s Mayer DC WeYern States Fire Proledion,OU=We em F A / 1 C <br /> Stales lire Protection Companies,OU=Companies, '//,�`` J1r }rj� <br /> DC .nc.OC=api <br /> D,!e�zozz aa.zs is ccae-oroo• 8117r2022 <br /> Owner/Authorized Agent Signature Date (Reviser!3/6/2019) <br />