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mom <br /> E ALARM PERMIT APPL•ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> 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 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:916 Oakes Avenue, Everett, WA 98201 BUILDING AREA: 5,000 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: $1,000 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2202-076 <br /> DESCRIBE SCOPE OF WORK: <br /> Installing TG-7FS Cellular 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 /> ✓❑ 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: EVSD TENANT BUSINESS NAME (If Commercial): Whittier <br /> OWNER MAILING ADDRESS: STREET916 Oakes Ave <br /> Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-385-5200 OWNER EMAIL:N/a <br /> CONTRACTOR NAME:Sorlltrol Pacific <br /> CONTRACTOR ADDRESS: STREET2221 California St <br /> cc-v Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-583-9657 CONTRACTOR EMAIL:KeliahQ@verifiedpeaceofmind.com <br /> CONTRACTOR LIC.#(REQUIRED):SONITP*948D7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 3143 <br /> PRIMARY CONTACT: lOWNER ✓❑CONTRACTOR _]OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-583-9657 <br /> Keliah Quincy CONTACT EMAIL:KeliahQ@verifiedpeaceofmind.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 /> �itio -� -- 0O <br /> Keliah Quincy 03/21/22 FA <br /> V <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br />