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• • <br /> NMI <br /> 12 FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box <br /> WASHINGTON CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:6830 Highland Drive Everett, WA 98203 BUILDING AREA: 2500 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: $7584.25 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK:Swapping out the Fire Alarm Panel which is located in the Fire Alarm on the 1st Floor. It will be exact Equipment. <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 /> El Location of fire alarm devices <br /> ElBattery 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:New Life Church TENANT BUSINESS NAME(If Commercial):Same <br /> OWNER MAILING ADDRESS: STREET6830 Highland Drive <br /> cm, Everett, WA STATE WA ZIP 98203 <br /> OWNER PHONE:425 212-4150 OWNER EMAIL:Randyk@newlifeeverett.org <br /> CONTRACTOR NAME:Fire Chief Equipment <br /> CONTRACTOR ADDRESS: STREET 14214 NE 21st Street <br /> c,n Bellevue STATE WA ZIP 98007 <br /> CONTRACTOR PHONE:425 393-4297 CONTRACTOR EMAIL:Michaelc@fire-chief.com <br /> CONTRACTOR LIC.#(REQUIRED):FIRECCE9362Q CITY OF EVERETT BUSINESS LIC.#(REQUIRED):429297 <br /> PRIMARY CONTACT: ❑OWNER QCONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425 522-1269 <br /> Jennifer Remming CONTACT EMAIL:jenniferr@fire-chief.com <br /> AGREEMENT:1 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 /> &WI — C(7 <br /> a i� �- FAZZd5 - 00� <br /> caner/Authoriz A ent Signatur Date (Revised 4/21/2022) <br />