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FIRE ALARM PERMIT APPLIATIO EWE <br /> EVERETT CITY OF EVERETT PERMIT SERVICES ! '� <br /> SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop of 200 Ce Stjegt nFloor Dro) x <br /> WASHINGTON CONTACT INFORMATION: (P)425.257.8810 l(E)everetteps@everettwa.gov I( erettAi v/ e it t1 J <br /> PROJECT SITE INFORMATION <br /> I666 Y OFEVF_RETT <br /> PROJECT ADDRESS:10011 Evergreen Way Everett, WA 98204 BUILDING AREA: 5 34prl11lt servica ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ ADDITION ElTENANT IMPROVMENT ElREMODEL <br /> BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$2397.36 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Upgrade the existing FACP and the addition of a new Cellular Sole Path Communicator to replace POTS lines. <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: HOBBY LOBBY STORES INC TENANT BUSINESS NAME(If Commercial): HOBBY LOBBY STORE <br /> OWNER MAILING ADDRESS: STREET BANK OF AMERICA CENTER 15 WEST 6TH ST STE 2400, TULSA, OK 74119 <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:ADT Commercial LLC <br /> CONTRACTOR ADDRESS: STREET600 Oakesdale Ave SW, Ste 100, Renton, WA 98057 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:(206)586-6343 CONTRACTOR EMAIL:nwcommpermits@adt.com <br /> CONTRACTOR LIC.#(REQUIRED):ADTCOCL801 K6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 62267 <br /> PRIMARY CONTACT: DOWNER QCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(206)586-6343 <br /> Ma ri ssa Ro h a n i CONTACT EMAIL:nwcommpermits@adt.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 1 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 /> /177- es7un a�c ` 3/30/2023 <br /> FA, - Cry ` L()j� <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br />