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FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box <br /> WASHINGTON CONTACT INFORMATION:(P)425-257-8810 l(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:2802 Hoyt Ave BUILDIIINN-G AREA: 100 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION []TENANT IM uPROVMENT REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $1,128.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): <br /> DESCRIBE SCOPE OF WORK: Project Name: BPS Skotdal Library Place <br /> Scope of this project is to replace the existing Fire signal expander. No altering of the existing FA devices or the FACP itself. All devices <br /> are existing all devices and circuits are to remain unaltered. This is not related to any tenant improvement or construction. <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 /> 712 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> ❑2 Sets of Plans-Must include the following: <br /> ❑ Location of fire alarm devices <br /> ri 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: Hoyt Avenue Properties,LLC TENANT BUSINESS NAME(If Commercial): Liberty Place <br /> OWNER MAILING ADDRESS: STREET P.O. Box 5267 <br /> CITY Everett STATE WA ZIP 98206 <br /> OWNER PHONE:253-248-2051 OWNER EMAIL:FApermits@smithfire.com <br /> CONTRACTOR NAME:Smith Fire Systems <br /> CONTRACTOR ADDRESS: STREET 1 106 54th Ave East <br /> .1 ,, Tacoma STATE WA Z,P 98424 <br /> CONTRACTOR PHONE:253-926-1880 CONTRACTOR EMAIL:FApermits@smithfire.com <br /> CONTRACTOR LIC.#(REQUIRED):SMITHFS764NB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):23577 <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-248-2051 <br /> Lennie Mueller,Smith Fire Systems CONTACT EMAIL:Imueller@Smithfire.com <br /> AGREEMENT.-/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 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 /> WA C. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> Digitally signed by Lennie L Mueller <br /> Sy ,,CNm leer@smnbto-e.com.o=smnh <br /> Lennie L Mueller L..ti Fif,,°"-Le°nieLM°slier 1 1-15-2024 <br /> Location:Fife,WA FA <br /> Reason:I am the author of this document <br /> DoZ 2Gbb Info:Imueller3815-08.00 om <br /> Date:2024.11.15 12:38:15-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />