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Imo <br /> IftE ALARM PERMIT APPLITION <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:9801 19th Ave SE , 98208 BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION 0 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:$500 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):APPLYING FOR <br /> DESCRIBE SCOPE OF WORK: INSTALL A UL LISTED AEA RADIO AND TIE IT INTO THE EXISTING FACP <br /> FOR SUPERVISING CENTRAL STATION MONITORING <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 /> E✓ 2 Sets of Plans-Must include the following: <br /> ISi Location of fire alarm devices <br /> 0 Battery calculations&voltage drop calculations for notification appliance circuits <br /> II Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFORMATION <br /> OWNER NAME:TEAM CAR CARE TENANT BUSINESS NAME(If Commercial):JIFFY LUBE <br /> OWNER MAILING ADDRESS: sTREET 105 DECKER COURT, Suite 900 <br /> crry IRVING, STATE TX zip 75062 <br /> OWNER PHONE:425.766.5160 OWNER EMAIL:STOREO2898@JIFFYLUBE.COM <br /> CONTRACTOR NAME:FIRE PROTECTION INC <br /> CONTRACTOR ADDRESS: STREET PO BOX 12642 <br /> ciTY BOTHELL STATE WA ZIP 98082 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038814 <br /> PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: DA ,I D MOW CONTACT PHONE:425,290,9600 <br /> CONTACT EMAIL:DAVID@FPISEATTLE.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 /> 01/31/23 <br /> FA D2 CO <br /> Owner/ ' ed Agent S' ature Date (Revised 421/2022) <br />