3322 BROADWAY COMPASS HEALTH 2025-10-09

FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P) 425-257-88101 (E) PermitSewices@evere@wa.gov I (W) everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3322 Broadway BUILDING AREA: 72425 sq ft PROJECT TYPE: ❑✓ NEW CONSTRUCTION ❑ ADDITION []TENANT IMPROVM ENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI -FAMILY -#OF UNITS: ❑✓COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 29,410.00 ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): E2404-263 DESCRIBE SCOPE OF WORK: Emergency Responder Radio Coverage System 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: ❑� 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) O2 Sets of Plans - Must include the following: ❑✓ Location of fire alarm devices ❑✓ Battery calculations & voltage drop calculations for notification appliance circuits ❑✓ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME (If Commercial): Compass Health OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Amplified Wireless Solutions CONTRACTOR ADDRESS: STIEET2355 State Street, Suite 101 CITY Salem STATE OR ZIP 97301 CONTRACTOR PHONE: 503-686-0670 CONTRACTOR EMAIL: Jmuzynoski@a-w-s-inc.com CONTRACTOR LIC. #(REQUIRED):AMP1-IWS832JS CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 58677 PRIMARY CONTACT: []OWNER [Z]CONTRACTOR []OTHER (Please Specify) CONTACT NAME: Denise Muzynoski CONTACT PHONE: 406-451-3036 CONTACT EMAIL: d.muzynoski@a-w-s-inc.com AGREEMENT: l hereby certify that / 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 l am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT #: 10/8/2024 FA j%miee /L%ar�i moeii Owner/Authorized Agent Signature Date (Revised 4121/2022)