6317 EVERGREEN WAY HOGLUNDS 2024-04-26

1- FQE ALARM PERMIT APPLIG•ION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box wAswNGTOH CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices©everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6317 Evergreen Way BUILDING AREA: 100 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$1000.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): j. j —)?)`O DESCRIBE SCOPE OF WORK: installation of cellular communcator on existing fire alarm panel PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance.Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: ✓❑ 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) 2 Sets of Plans-Must include the following: In Location of fire alarm devices ElBattery calculations&voltage drop calculations for notification appliance circuits ❑ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Hoglunds TENANT BUSINESS NAME(If Commercial):Hoglunds OWNER MAILING ADDRESS: STREET 6317 Evergreen Way C,T, Everett STATE WA zip 98203 OWNER PHONE: 425-353-4227 OWNER EMAIL: dave@hoglunds.com CONTRACTOR NAME: Bay Alarm Company CONTRACTOR ADDRESS: STREET 8229 44th Ave W, Suite D Mukilteo STATE WA zp 98275 CONTRACTOR PHONE:425-595-3953 CONTRACTOR EMAIL:dianna.williams@bayalarm.com CONTRACTOR LIC.#(REQUIRED): BAYALAC876KF CITY OF EVERETT BUSINESS LIC.#(REQUIRED):57430 PRIMARY CONTACT: 'DOWNER ❑✓ CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-442-8854 Steve Penning CONTACT EMAIL:steven.penning@bayalarm.com 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 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 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 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 WAC. City of Everett Official Use Only PERMIT#: Owner/Authorized Agent Signature Date (Revised 4/21/2022) /l