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FOIE ALARM PERMIT APPLI•TION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box <br /> WASHINGTON CONTACT INFORMATION: (P)425 257 8810 I (E)everetteps@everettwa.gov 1 (W)everettwa.gov/permits <br /> _ PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: a. { St �"1 verett, WA 98204 BUILDING AREA: 21964 sq ft <br /> PROJECT TYPE: ❑ 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: $2100 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Installation of a Honeywell LTE-CFV IP/Cellular communicator with connectivity to the existing Honeywell VISTA 128FBP <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 /> ✓❑ 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑✓ 2 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 fawn <br /> CONTACT INFORMATION <br /> OWNER NAME: Bright Horizons #0730 TENANT BUSINESS NAME (If Commercial): Bright Horizons #0730 <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:ADT Commercial LLC <br /> CONTRACTOR ADDRESS: STREET600 Oakesdale Ave SW, Ste 100, Renton, WA 98057 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:(206)586-6343 CONTRACTOR EMAIL:nWcommpermits@adt.com <br /> CONTRACTOR LIC.#(REQUIRED):ADTCOCL801 K6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 62267 <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(206)586-6343 <br /> Marissa Rohani CONTACT EMAIL:nwcommpermits@adt.com <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 /> 4T7/- 74424..iaa�/6 xa 3/13/2023 FAC2 /(;1L� "�0 V 7 <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br />