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imECEIIVEIN <br /> ...., <br /> az AWE ALARM PERMIT APPLICJQN <br /> CITY OF EVERETT PERMIT SERVICES , 't11 MAY 0 5 d'7� <br /> EVERETT SUBMITTAL INSTRUCTIONS Drop off application and submittal documents at 32 dar Street 2nd Floor rb{3 Box <br /> WASHINGTON CONTACT INFORMATION.(P)425-257-8810 I (E)PermitServices@everettwa.gov{(W)everettwa.gov/permits <br /> ` PROJECT SITE;INFORMATION. <br /> - PROJECT ADDRESS:1712 W MARINE VIEW DR BUILDING AREA: 2032 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 INFORMATIOt &DESCRIPTION F CORK ,' <br /> CONTRACT PRICE OF WORK:$3,150 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: FIRE ALARM FOR TENANT IMPROVEMENT <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 /> 4 ✓Q 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> 0 2 Sets of Plans-Must include the following: <br /> O Location of fire alarm devices <br /> ✓l 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: TAYLOR HERMAN TENANT BUSINESS NAME(If Commercial): PORT GARDNER LANDING <br /> OWNER MAILING ADDRESS: STREET , <br /> CITY STATE ZIP <br /> OWNER PHONE:360-393-7553 OWNER EMAIL:TAYLOR@WOODSCOFFEE.COM <br /> CONTRACTOR NAME:B&H FIRE AND SECURITY <br /> CONTRACTOR ADDRESS: STREET PO BOX 3711 <br /> CITY ARLINGTON STATE WA ZIP 98223 <br /> CONTRACTOR PHONE:425 244-1445 CONTRACTOR EMAIL:JEFF@BNHFIRE.COM <br /> CONTRACTOR LIC.#(REQUIRED):BHFIRHF842KW CITY OF EVERETT BUSINESS LIC.#(REQUIRED):055697 <br /> PRIMARY CONTACT: ❑OWNER OCONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-244-1445 <br /> JEFF BROSSARD CONTACT EMAIL:JEFF©BNHFIRE.COM <br /> 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 <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 /> .,2zif �3 � 5/2/2023 FA .f 0 5 — 00{. <br /> 0 er/Authorized Agent Signature Date (Revised 4/21/2022) <br />