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110 • <br /> FIRE ALARM PERMIT APPLICATION <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:3201 Smith Ave BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT EREMODEL <br /> BUILDING USE: ❑SFR I I TOWNHOUSE ❑DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $16827 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2206-030 <br /> DESCRIBE SCOPE OF WORK: Modify existing fire alarm system Everett Station Bezos Academy. Demo (3)wall speaker/strobes, <br /> add (15) new devices. Joint venture between Johnson Controls Fire Protection and Prime Electric. <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 /> 0 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:City of Everett TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET3200 Cedar St. <br /> c,n Everett STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:JOhrlSOrl Controls Fire Protection <br /> CONTRACTOR ADDRESS: STREET9520 10th Ave S. Suite 100 <br /> Can Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE:206-291-1400 CONTRACTOR EMAIL:janet.stebbins@jci.com <br /> CONTRACTOR LIC.#(REQUIRED):JOHNSCP831 PR CITY OF EVERETT BUSINESS LIC.#(REQUIRED):-602113334 c,1 <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-777-4828 <br /> Janet Stebbins CONTACT EMAIL:janet.stebbins©jci.com <br /> AGREEMENT:1 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 /> Janet Stebbins 09/26/2022 FA -22R -CC& <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />