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ims <br /> •E ALARM PERMIT APPLIOTION <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.govlpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:5010 View Drive, Everett WA 98203 BUILDING AREA: 5,000 sq ft <br /> PROJECT TYPE: ❑NEW CONSTRUCTION 0 ADDITION 0 TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: ❑SFR El 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):E2206-045 <br /> DESCRIBE SCOPE OF WORK: Installing TG-7FS cellular Communicator to monitor existing fire alarm. <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 /> CI Location of fire alarm devices <br /> Q attery calculations&voltage drop calculations for notification appliance circuits <br /> LJ Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFORMATION <br /> OWNER NAME:Everett School District 2 TENANT BUSINESS NAME(If Commercial):Lowell Elementary <br /> OWNER MAILING ADDRESS: STREET4730 Colby Ave <br /> crry Everett STATE WA ZIP 98203 <br /> OWNER PHONE:425-385-5200 OWNER EMAIL:N/a <br /> CONTRACTOR NAME:SOflitrOl PaiCifc <br /> CONTRACTOR ADDRESS: STREET2221 California St <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-583-9657 CONTRACTOR EMAIL:KeliahQ@verifiedpeaceofmind.com <br /> CONTRACTOR LIC.#(REQUIRED):SON ITP*948D7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):3143 <br /> PRIMARY CONTACT: ❑OWNER OCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-385-5200 <br /> Molly Ringo CONTACT EMAIL:N/a <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 /> vn nta-o City of Everett Official Use Only <br /> PERMIT#: <br /> _---_ 0 ' O0 FA 22 -00) <br /> wnerlAuthorized Agent Signa Da (Revised 4/21/2022) <br />