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2204 12TH ST 2025-09-30
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2204 12TH ST 2025-09-30
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Last modified
9/30/2025 4:05:20 PM
Creation date
9/26/2025 10:54:47 AM
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Address Document
Street Name
12TH ST
Street Number
2204
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F ,E ALARM PERMIT APPLI' �TION <br /> EVERETT CITY OF EVERETT PERMIT SERVICEb <br /> SUBMITTAL INSTRUCTIONS:Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box <br /> WASHINGTON CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:Everett Plaza Retirement 1204- "-7 1"% S� BUILDING AREA: <br /> sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION 0 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: $1902.33 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):Applied for <br /> DESCRIBE SCOPE OF WORK: Addition of AES raido for purpose of fire communication. <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 /> ✓0 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> J7✓ 2 Sets of Plans-Must include the following: <br /> M Location of fire alarm devices <br /> 21 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 Plaza Retirement Community TENANT BUSINESS NAME(If Commercial):Everett Plaza Retirement Community <br /> OWNER MAILING ADDRESS: 11E,2204 12th Street <br /> CITY Everett STATE WA Z,P 98201 <br /> OWNER PHONE:206-232-9680 OWNER EMAIL:apmgr@carepartnersliving.com <br /> CONTRACTOR NAME:WaShington Alarm <br /> CONTRACTOR ADDRESS: sTIEET2030 Airport Way South <br /> c,, Seattle STATE WA Z,P 98134 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):WASH IA1282C3 I CITY OF EVERETT BUSINESS LIC.#(REQUIRED):25389 <br /> PRIMARY CONTACT: []OWNER CONTRACTOR D OTHER(Please Specify) Opperations Supervisor <br /> CONTACT NAME: CONTACT PHONE:360_733_1 330 <br /> Renae Gehrcke CONTACT EMAIL:RGehrcke@awashingtonalarm.com <br /> AGREEMENT.-l hereby certify that l 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/am authorized by <br /> the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 <br /> INAC. <br /> City of Everett Official Use Only <br /> Rlp►^�l I�e Digitally signed byRenaeGehrcke PERMIT#: <br /> DN:cn=Renae Gehrcke,o=Washington <br /> AlaiTemail ou, 2/6/2023 <br /> Gehrcke C_�U5 ehrcke@washigntonalarm.co �� _ O <br /> Date:2023.02.06 15:50:24-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />
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