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ARE ALARM PERMIT APPLIATION <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box <br />CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 3000 Rockefeller Ave Everett, WA 98201 <br />BUILDING AREA: 17,660.72 sq ft <br />PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL <br />BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ✓❑ COMMERCIAL <br />PERMIT INFORMATION & DESCRIPTION OF WORK <br />CONTRACT PRICE OF WORK: $ 20000 <br />ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): <br />DESCRIBE SCOPE OF WORK: <br />Emergency panel replacement, like -for -like. <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: SNOHOMISH CO PROP MGM TENANT BUSINESS NAME (If Commercial): Snohomish COUntV Court <br />OWNER MAILING ADDRESS: STREET 3000 ROCKEFELLER AVE M/S 404, EVERETT, WA 98201 <br />CITY STATE ZIP <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: ADT Commercial LLC <br />CONTRACTOR ADDRESS: STREET21312 30TH DR SE, SUITE 103 BOTHELL, WA 98021 <br />CITY STATE ZIP <br />CONTRACTOR PHONE: 2065866343 <br />CONTRACTOR EMAIL: nwcommpermits@adt.com <br />CONTRACTOR LIC. #(REQUIRED): ADTCOCL801 K6 <br />CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 62267 <br />PRIMARY CONTACT: ❑OWNER OCONTRACTOR ❑OTHER (Please Specify) <br />CONTACT NAME: <br />Marissa Rohani <br />CONTACT PHONE: 2065866343 <br />CONTACT EMAIL:nwcommpermits@adt.com <br />AGREEMENT. / 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 1 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 />10/25/2022 <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMIT #: <br />FAQ. l D� <br />(Revised 31612019) <br />I/-- <br />