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FIRE ALARM PERMIT APPLIC. .IfION <br /> V E R E T T CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1001 N Broadway Everett,WA 98201 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:$53,000 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> New construction - EST4 panel w/voice. <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 /> 213 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑✓ 3 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: Everett Community College TENANT BUSINESS NAME(If Commercial): ECC: Learning Resource <br /> OWNER MAILING ADDRESS: STREET2000 Tower St <br /> �,n Everett STATE WA Z,P 98201 <br /> OWNER PHONE:425-778-3773 OWNER EMAIL:psnowden@everetcc.edu <br /> CONTRACTOR NAME:Performance Systems Integration, LLC <br /> CONTRACTOR ADDRESS: B STREE[T�19310 North Creek Pkwy Ste 109 <br /> CITY Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:206-719-9173 CONTRACTOR EMAIL:stephen.price@psintegrated.com <br /> CONTRACTOR LIC.#(REQUIRED):PERFOS181250 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 61 656 <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-719-9173 <br /> Stephen Price CONTACT EMAIL:stephen.price@psintegrated.com <br /> AGREEMENT.1 hereby certify that/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 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 /> Z FA 22 0 <br /> Owner/Authorized Agent Signature Date (Revised 31612019) <br />