Laserfiche WebLink
AkE ALARM PERMIT APPLIATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: Rucao, 2f k \. =1 . BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION qADDITION ❑TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: 0 SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> PERMIT INFORMATION& DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ l ��� `— ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: \--‘ os,4-[1 f-rhk-cX/U1 (\(-Vikk_\\C ( Q uiz-)- <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 /> ❑3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) �j., <br /> CI Sets of Plans-Must include the following: /��,.J <br /> ElLocation of fire alarm devices v S �L. <br /> ❑ Battery calculations&voltage drop calculations for notification appliance circuits v <br /> ❑ Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT BUSINESS NAME(If Commercial) ;l�JlQy�Q�( j�\�f\C� <br /> OWNER MAILING ADDRESS: STREET 1 Q . <br /> CITY ' j\JP(C STATE \O ZIP 5 k <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> Cam`AcLv-cv cx ./-4)cal- )y- <br /> CONTRACTOR ADDRESS: STREET n'3 1�k (Q 1 <br /> CITY `A_\.Q STATE \IN ZIP 0 <br /> CONTRACTOR PHONEka ' (:C " CONTRACTOR EMAIL:(*J`(Cti\��C",V ('\\ �(lie C I�C\ ^)tY\ <br /> `�?:; CITY OF EVERETT BUSINESS LIC.#(REQUIRED): V'� 4 3 <br /> CONTRACTOR LIC.#(REQUIRED):�U:{���-�-?o.,. -'�� <br /> PRIMARY CONTACT: 0 OWNER &CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: �,) <br /> L CONTACT PHONE: a� �� \ - ' <br /> ' \ YE CONTACT EMAIL: a )c gri'k �C��1�)1(l�t�l vv.k c ��C\ C 1A , LCx <br /> AGREEMENT:I hereby certify that rave read and examined this application and know'tAe 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 /> f, FA 2A2r Ova <br /> Owner/Authorized A nt Sig ature Date (Revised 4/15/2019) <br />