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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 1(E)PermitServices@everettwa.gov I(W)everettwa.govipermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 10407 Airport Rd BUILDING AREA: 100 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: Q✓ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $910.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): E2402-097 <br /> DESCRIBE SCOPE OF WORK: ADDING CELLULAR COMMUNICATOR TO EXISTING FIRE ALARM SYSTEM <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: --a <br /> MVD 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) 1E(1'k--!;7"E O <br /> n 2 Sets of Plans-Must include the following: FCB 15 <br /> 2024 <br /> ❑ Location of fire alarm devices CD 'I <br /> 0 <br /> ❑ Battery calculations&voltage drop calculations for notification appliance circuits CITY OF EVERETT <br /> ❑ Sequence of operation in either an input/output matrix or narrative form Permit Services <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT BUSINESS NAME(If Commercial):Sunrise Services <br /> OWNER MAILING ADDRESS: .TR.ET PO Box 2569 <br /> My Everett STATE WA Z,R 98213 <br /> OWNER PHONE: 425-299-8008 OWNER EMAIL: leep@sunriseemail.com <br /> CONTRACTOR NAME: Bay Alarm Company <br /> CONTRACTOR ADDRESS: STREET 8229 44th Ave W, Suite D <br /> c,Ty Mukilteo STATE WA Z,P 98275 <br /> CONTRACTOR PHONE: ICONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):BAYALAC87 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57430 <br /> PRIMARY CONTACT: OWNER Q✓ CONTRACTOR []OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-595-3953 <br /> Dianna Williams CONTACT EMAIL: dianna.williams@bayalarm.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/am authorized by <br /> the owner of this property to perforin the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 <br /> WA C. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> FA <br /> Owner/Authorized Agent Signature Date <br /> I (Revised 4/21/2022) <br />