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<br /> A091P-- FIRE ALARM PERMIT APPLICATION
<br /> /**,-. CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> (P)428 8810 FAX-257, 1 426-2574857 1(E)everettopsOnveruitwauov I worn everettwa.goviperinits i
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<br /> PROJECT ADDRESS:2-10.1 .1bq fl vc., 'kr 4 -1 BUILDING AREA: _ sq ft
<br /> PROJECT TYPE: El NEW CONSTRUCTION CI ADDITION Ira TENANT IMPROVMENT C REMODEL
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<br /> BUILDING USE: )1
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<br /> CONTRACT PRICE OF WORK:$ 3G,Qv '11-' ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):
<br /> DESCRIBE SCOPE OF WORK: 1/2.e: A i„,,sisiLm, )2 t:_z_ve_A-7<„ Aisp- tt.),57/4.4, E:,(15-1 .. k- 4,
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<br /> Plan review by the Fire Department Is required prior to permit Issuance.
<br /> 'Check the boxes below to iricticaticate all documents that am being submitted with this permit application:
<br /> CI 3 Sets of Plans showing location of fire alarm devices
<br /> Cl 3 Sets of Specifications for the Devices to be installed ,
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<br /> OWNER NAME: TENANT BUSINESS NAME Sit Commercial):bo(-c.1 kroinra/iittiontfrout
<br /> OWNER MAILING ADDRESS: shut/69:10-1 CpIj, ritic.../ _s_tr,. ioq
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<br /> STATE (A..),9- 2/9 C113 W I
<br /> OWNER PHONE: OWNER EMAIL
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<br /> CONTRACTOR NAME: ?DJ,/iA F 1 rc, a. scc,ori-fq , („LEJ
<br /> CONTRACTOR ADDRESS: mew' P'0. F-nV_ 7 [1 i
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<br /> 2...1 tAIL„. ..2,19- zw C/9 72,3
<br /> CONTRACTOR PHONE: Liz.b- 4-1111-15 CONTRACTOR EMAIL:
<br /> CONTRACTOR LIC,it(REQuiRED):T2, t4ay 01/47) Jcrrf OF EVERETT BUSINESS LIC.#(nEQUIRED):0,66C9C1T1
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<br /> PRIMARY CONTACT: 0 OWNER C2/CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT , ,,.: ]CONTACT PHONE LifZ„ ----,2 ..q—jqqo
<br /> 3-C-ft 6f0SD.10
<br /> NAME
<br /> CONTACT EMAIL: jh-Fi reoyy)
<br /> AGREEMENT:I hereby certify(het I have reed and examined this application and know the same to be true and correct. AY provisions of laws and
<br /> ordinances governing this type of work*iil 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 bout law regulating construction or the performance of construction. That I am authorized by
<br /> the owner of this properly to perform the work for which application is made end I comply with the State Contractors Law 1817 RCW and 298200
<br /> WAG. 1
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<br /> City of Everett Official Use Only
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<br /> PERMIT Si:
<br /> 3-3 -2.9?.? FA 2 2, 0 4 — 0 0 i
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<br /> Own u prized Agent Signature Oate (Revised 1/iiI2019) 1
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