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FIR2021-0020+Application+3.1.2021_2.51.02_PM+2069462CITY OF EDMONDS MyBoildingPermit.com Fire Application #928757 - Grease Monkey Applicant First Name Last Name Company Name Stephen Price ADT Commercial Number Street Apartment or Suite Number E-mail Address 600 Oaksdale Ave SW 100 ssprice(D_adt.com City State Zip Phone Number Extension Renton WA 98057 4259704359 Contractor Company Name RED HAWK INDUSTRIES LLC Number Street Apartment or Suite Number 600 Oaksdale Ave SW Ste 100 City State Zip Phone Number Extension Renton WA 98057 4259704359 State License Number License Expiration Date UBI # E-mail Address ADTCOCL801UQ 3/31/2022 602805295 ssprice@adt.com Project Location Number Street Floor Number Suite or Room Number 21121 76TH AVE W 1 None City Zip Code County Parcel Number EDMONDS 98026 00566900400706 Associated Building Permit Number Tenant Name Grease Monkey Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PORTERFIELD MANAGEMENT CORP Number Street Apartment or Suite Number 811 1 ST AVE 422 City State Zip SEATTLE WA 98104 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: 3/1/2021 Submitted By: Stephen Price Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #928757 - Grease Monkey Project Contact Company Name: ADT Commercial Name: Stephen Price Email: ssprice@adt.com Address: 600 Oaksdale Ave SW 100 Phone #: 4259704359 Renton WA 98057 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Alarm Project Name: Grease Monkey Description of Work: Addition of a low voltage cellular communicator and smoke detector on existing fire alarm system. Project Details Fire System Counts Number of Devices 2 Valuation Fair Market Value of Work $1,100 Panel or Power Supply The work does not involve a new fire alarm panel or power supply Page 2 of 2