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FIR2020-0099+Application+11.18.2020_2.50.10_PMCITY OF EDMONDS Fire Application #885870 - J # 56902-3 Applicant First Name Last Name Elizabeth Fisher Number Street Apartment or Suite Numb 1743 1 st Ave S City State Zip Seattle WA 98134 Contractor Company Name GUARDIAN SECURITY SYSTEMS INC Number Street 1743 1st ave s City State Zip seattle WA 98134 State License Number License Expiration Date UBI # GUARDSS233K5 9/30/2022 600189667 Project Location Number Street 110 JAMES ST MyBuildingPermit.com Company Name Guardian Security Systems er E-mail Address efisher(D_quardiansecurity.com Phone Number Extension (206)622-6545 277 Apartment or Suite Number Phone Number Extension (206) 622-6545 E-mail Address efisher(a_quardiansecurity.com City Zip Code County Parcel Number EDMONDS 98020 00864100020000 Associated Building Permit Number Tenant Name 110 James Street Bldq. Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number next to FACP next to FACP First Name Last Name or Company Name EFCA LLC Number Street Apartment or Suite Number 110 JAMES ST 100 City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 11/18/2020 Submitted By: Elizabeth Fisher Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #885870 - J # 56902-3 Project Contact Company Name: Guardian Security Systems Name: Elizabeth Fisher Email: efisher@guardiansecurity.com Address: 1743 1 st Ave S Phone #: (206)622-6545 277 Seattle WA 98134 Project Type Nonresidential Activity Type Alteration Project Name: J # 56902-3 Description of Work: Install AES Radio to monitor existing FACP Project Details Transmitter Type Dual Line Digital Alarm Communicator Fire System Counts Number of Devices Valuation Fair Market Value of Work Type of Work Emergency Radio Coverage System Panel or Power Supply The work does not involve a new fire alarm panel or power supply 1 $750 Scope of Work Fire Alarm Page 2 of 2