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FIRE ALARM PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:3003 WEST CASINO ROAD `(Q,3y 1. (. 3UILDING AREA: 1oo< sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$13,000 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: <br /> REPLACE OBSOLETE TYCO MONITORING PANEL <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 /> ✓❑ 3 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: BOEING TENANT BU INESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET3003 WEST CASINO RO 40-34 BLDG COLUMN K-13.5 <br /> CITY EVERETT STATE WWW - ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:ALEXANDER GOW FIRE EQUIPMENT CO. <br /> CONTRACTOR ADDRESS: STREET 1436 NW 53RD STREET <br /> CITY SEATTLE STATE WA ZIP 98107 <br /> CONTRACTOR PHONE:206-632-2810 CONTRACTOR EMAIL:kmullen@gowfire.com <br /> CONTRACTOR LIC.#(REQUIRED):ALEXAGF097NW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050029 <br /> PRIMARY CONTACT: DOWNER ['CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-718-1009 <br /> KEVIN M U LLEN CONTACT EMAIL:kmullen@gowfire.com <br /> 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 <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 I 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 /> ZFA « 0(4 -fig <br /> dw er/Authorized Agent Signature Date (Revised 3/6/2019) <br />