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FIRE ALARM PERMIT APPLICIION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box <br /> WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1130 SE EVERETT MALL WAY EVERETT, WA 98208 BUILDING AREA: 7,500 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ ADDITION ❑TENANT IMPROVMENT [' REMODEL <br /> BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$2091.15 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Add cell communicator to existing system. <br /> �JCJ,) <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 /> ✓❑ Location of fire alarm devices <br /> ✓❑ 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: MATTRESS FIRM INC TENANT BUSINESS NAME(If Commercial): MATTRESS FIRM INC <br /> OWNER MAILING ADDRESS: STREET 10201 S MAIN ST CCF <br /> E <br /> CITY HOUSTON, STAT ZIP <br /> OWNER PHONE: OWNER EMAIL: JUL` (` 6 <br /> 2023 <br /> CONTRACTOR NAME:ADT Commercial LLC CITY OF EVERETT <br /> CONTRACTOR ADDRESS: sTREET600 Oakesdale Ave SW, Ste 100 Permit Services <br /> CITY Renton, STATE WA ZIP 98057 <br /> CONTRACTOR PHONE:(206)586-6343 CONTRACTOR EMAIL:nwcommpermits@adt.com <br /> CONTRACTOR LIC.#(REQUIRED):ADTCOCL801 K6 CITY OF EVERETT BUSINESS LIC.#(REOUIRED): 62267 <br /> PRIMARY CONTACT: ❑OWNER ['CONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(206)586-6343 <br /> Marissa Rohani CONTACT EMAIL:nwcommpermits©adt.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 1 comply with the State Contractors Law 18.27 RCW and 296.200 <br /> WAC. <br /> _ City of Everett Official Use Only <br /> PERMIT#: <br /> Mavissa koahkri 6/30/2023 FA 01 <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br />