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Building Permit 2021Type: FIRE SPRINKLER Subtype: FIRE SPRINKLER MODIFICATION - COM I Status: ISSUED Parcel No: 00461000100101 Site Address: 21616 76TH AVE W 109 EDMONDS,WA 98026-7512 Subdivision: 005295, 004610, 008167, 010330 Lot: 0 Fire Sprinklers: Lot Area: Zoning: Valuation: $7,370.00 Occupancy Type: Construction Type: Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0 Scope of Work: SWEDISH EDMONDS OR -FIRE SPRINKLER MODIFICATION Applied: 8/4/2021 Issued:8/25/2021 Final: Expiration Date: 8/25/2022 Issued by: WAC WA State Contractor L & I #: COSCOFP935MS City of Edmonds Business License #: 602454996-001-0001 1 CONTACTS NAME TYPE NAME ADDRESS PHONE EMAIL APPLICANT JENNIFER BREMMEYER 4308 S 131ST PL, TUKWILA WA (206)438-3380 JBREMMEYER@COSCOFIRE.COM 98168 CONTACT COSCO FIRE PROTECTION 4308 S 131ST PL, TUKWILA WA (206)438-3380 jbremmeyer@coscofire.com 98168 CONTRACTOR COSCO FIRE PROTECTION INC 4308 S 131ST PL, TUKWILA WA (206)438-3360 jbremmeyer@coscofire.com 98168 SWEDISH SURGERY CTR-HR 3310 ND AVE STE 700, OWNER ACQUISITION I NASHVILLE TN 37203 CORPORATION FEE •' • DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT # CITY TECHNOLOGY FEE CHARGED 001.000.321.99.100.00 $40.00 $40.00 8/5/21 R13732 PER PERMIT FIRE SPRINKLER - BLDG BASE FEE 001.000.322.10.000.00 $100.00 $100.00 8/5/21 R13732 MODIFICATION FEE - NUMBER OF 001.000.342.40.000.00 $400.00 $400.00 8/5/21 R13732 HEADS OR DEVICES TOTALS: $540.00 $540.00 CONDITIONS INSPECTIONS - Schedule Online at: https://Inspection.MvBuildingPermit.com COMPLETED RESULT SEQID INSPECTION TYPE INSPECTOR NOTES DATE X-1 FIRE FINAL" F-5 FIRE SPRINKLER ACCEPT Printed: Wednesday, August 25, 2021 10:08:54 AM 1 of 1