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• <br /> FIRE ALARM PERMIT APPLIATION <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 /> WASH;NCTON CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:3732 BROADWAY AVE , 98201 BUILDING AREA: 1000 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION E 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):E2305-096 <br /> DESCRIBE SCOPE OF WORK: INSTALLATION OF (1) FIRE ALARM WIRELESS COMMUNICATOR <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 /> 0 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) D <br /> ECIEINE-1\ <br /> ❑✓ 2 Sets of Plans-Must include the following: <br /> El Location of fire alarm devices MAY 1 7 2023 id) <br /> ❑✓ Battery calculations&voltage drop calculations for notification appliance circuits CITY OF EVERETT <br /> E Sequence of operation in either an input/output matrix or narrative form Permit Services <br /> CONTACT INFORMATION <br /> OWNER NAME: MPCB TENANT BUSINESS NAME(If Commercial): MOUNTAIN PACIFIC BANK <br /> OWNER MAILING ADDRESS: STREET 3236 BROADWAY, Ste 302 <br /> CIT., EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE:425.870.8739 OWNER EMAIL:BDIAMOND©MP.BANK.COM <br /> CONTRACTOR NAME: FIRE PROTECTION INC <br /> CONTRACTOR ADDRESS: STREET PO BOX 12642 <br /> cm, BOTHELL STATE WA ZIP 98082 <br /> CONTRACTOR PHONE:425.290.9600 CONTRACTOR EMAIL:DAVID©FPISEATTLE.COM <br /> CONTRACTOR LIC.#(REQUIRED): FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038814 <br /> PRIMARY CONTACT: ❑OWNER ECONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: DAVID MOW CONTACT PHONE:425.290.9600 <br /> CONTACT EMAIL:DAVID©FPISEATTLE.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 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 /> 05. 11 .23 <br /> FA 2305 _ otdl <br /> o:> <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br /> (E-13[)5 O`9ti r <br />