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FIRE ALARM PERMIT APPLICAPION <br /> 101JE7-7- <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 I(E)everetteps@everettwa.gov I (W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:10113 Evergreen Way Everett WA 98204 BUILDING AREA: 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:$23,249 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> Installing and testing an upgraded fire alarm control panel and additional devices into an existing fire alarm system <br /> within an existing Pepboys retail store that is undergoing a tenant buildout. <br /> The system shall be monitored by an approved listed monitoring station. <br /> The communication paths will be IP primary and cellular secondary. <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 /> 02 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: PEPBOYS TENANT BUSINESS NAME(If Commercial): 4.-n)=i-643(LE='0 .art;rb Nor' <br /> OWNER MAILING ADDRESS: STREET3111 West Allegheny Avenue <br /> CITY Philadelphia STATE PA Zip 19132 <br /> OWNER PHONE:215-430-9000 OWNER EMAIL:george_burns@pepboys.com <br /> CONTRACTOR NAME:SeaCom Cabling Inc <br /> CONTRACTOR ADDRESS: STREET 3014 Hoyt Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL:RLOWERY@CALLSEACOM.COM <br /> CONTRACTOR LIC.#(REQUIRED):SEACOCI944DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 53655 <br /> PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-530-7363 <br /> Randy Lowery CONTACT EMAIL:rlowery@callseacom.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 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 /> Digitally signed by Carla Intriago '///�Carla IntriagoDNcn=aria lntriago,o=Ve;o Se ur y, FA / �O. CI Li <br /> ou mail=<aintriagorwectorsecumy.com, •� <br /> caUS <br /> Date,2022.05.191516:24 04'0D 5/19/22 <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br />