11632 EVERGREEN WAY DOMINOS PIZZA 2018-11-02

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits EG • PROJECT ADDRESS: 11632 Evergreen Way, Suite-H, Everett, WA 98204 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: CJ COMMERCIAL USE OF BUILDING: Commercial CONTRACT PRICE OF WORK: $ 2,500.00 NUMBER OF DEVICES(if low voltage): 5 FIRE ALARM? LX]YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Relocate existing fire alarm notificatin devices. Replace existing wall mounted fire alarm devices with ceiling mounted fire alarm devices. Install new monitor module for new hood system. OWNER NAME: TENANT NAME(If Commercial): Domino's Pizza OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Fire Systems West, Inc. CONTRACTOR ADDRESS: 206 STREET Frontage Rd N, Suite-C CITY Pacific STATE WA ZIP 98047 CONTRACTOR PHONE: 253-833-1248 CONTRACTOR EMAIL: service@firesystemswest.com CONTRACTOR LIC.#(REQUIRED): FIRESWI055LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 022919 PRIMARY CONTACT: 0 OWNER Ef CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-951-6005 Matt Calman CONTACT EMAIL: mattc@firesystemswest.com AGREEMENT:T 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 FEE \' 'vim PERMIT# 11/07/2017 E I� I )/ 66,4 Owne uthori ed Agent Signature Date (Revised 10/12/2015)