8102 EVERGREEN WAY EVERETT 4 CORNERS - BLDG D 2025-08-06

moi —7 E ALARM PERMIT APPL: NTION CITY OF EVERETT PERMIT SERVIC EVERETT SUBMITTAL INSTRUCTIONS:Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I (W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:8102 Evergreen Way 113Lt) 6 BUILDING AREA: 117,500 sq ft PROJECT TYPE: I't I NEW CONSTRUCTION ❑ ADDITION ❑TENANT IMPROVMENT 7 REMODEL BUILDING USE: E SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑✓ MULTI-FAMILY-#OF UNITS:8° IT COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $130,000 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):TBD - 1 L‘t �3 l DESCRIBE SCOPE OF WORK: Provide and install new fire alarm system and related circuitry in the 80-Unit Multi-Family apartment building. All fire alarm work is new construction work. Building 3 of 5 being constructed. b 10 — 151 PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance. Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: ✓0 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) E✓ 2 Sets of Plans-Must include the following: ri Location of fire alarm devices ❑✓ Battery calculations&voltage drop calculations for notification appliance circuits 0 Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Four Corners LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET10900 NE 8th St. Ste 1200 CITY Bellevue STATE WA zip 98004 OWNER PHONE:425.453.9551 OWNER EMAIL: CONTRACTOR NAME:Bold Low Voltage Inc. CONTRACTOR ADDRESS: STREET15712 Mill Creek Blvd. Ste. 15 cIT,, Mill Creek STATE WA zip 98012 CONTRACTOR PHONE:360.739.4303 CONTRACTOR EMAIL:anthony.medawar@boldIv.com CONTRACTOR LIC.#(REQUIRED): BOLDLLV783NJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):64955 PRIMARY CONTACT: ❑OWNER ECONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360.739.4303 Anthony Medawar CONTACT EMAIL:anthony.medawar@boldlv.com 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 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 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 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 WAC. City of Everett Official Use Only PERMIT#: 12/16/2022 FA •LZI -2 ) Owner/Authorized Agent Signature Date (Revised 4/21/2022)