FORM: FALM-1
CITY OF LACEY
Community & Economic Development Department
420 College Street SE
Lacey, WA 98503
(360) 491-5642
CASH OR CHECK ONLY PLEASE
FIRE ALARM PERMIT APPLICATION
NOTE: PLEASE INCLUDE (3) SETS OF COMPLETE AND SCALED PLANS FOR EACH FIRE ALARM PERMIT APPLICATION. INCLUDE A
FLOOR PLAN INDICATING THE USE OF ALL ROOMS, LOCATIONS OF ALARM-INITIATING AND NOTIFICATION APPLIANCES, ALARM
CONTROL AND TROUBLE SIGNALING EQUIPMENT, ANNUNCIATION, POWER CONNECTION, BATTERY CALCULATIONS,
CONDUCTOR TYPE AND SIZES, VOLTAGE DROP CALCULATIONS, MAUFACTURERS, MODEL NUMBERS AND LISTING INFORMATION
FOR EQUIPMENT, DEVICES AND MATERIALS, DETAILS OF CEILING HEIGHT AND CONSTRUCTION, THE INTERFACE OF FIRE
SAFETY CONTROL FUNCTIONS.
Type of Permit (check one): ( ) New Fire Alarm ( ) Fire Alarm Alteration/Addition
Project Address ___________________________________________________ Parcel Number______________________________
Number of Zones/Panels ____________________________________________ Project Area (Sq. Ft.) _______________________
Property Owner_______________________________________________ Phone Number ______________________________
Address ________________________________________ City ____________________ State _________ Zip _______________
Project Contact Person __________________________________________ Phone Number____________________________
Cell Phone _________________________ Fax Number _________________________ E-mail _____________________________
Address ________________________________________ City ____________________ State _________ Zip _______________
Fire Alarm Contractor________________________________________ Phone _________________ Fax_________________
Address ____________________________ City _______________ State ______ Zip _________ E-mail ____________________
Contractor’s License Number ____________________________ Expiration _________ City Bus. Reg. _______________________
Elec Contractor ___________________________________________ Phone __________________ Fax __________________
Address ____________________________ City _______________ State ______ Zip _________ E-mail ____________________
Contractor’s License Number ____________________________ Expiration _________ City Bus. Reg. _______________________
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulations of the State of Washington.
________________________________________________________ ________________________________________
Applicant’s Signature Date
________________________________________________________
Print Applicant’s Name
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