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Building Permit 2021Type: FIRE ALARM Subtype: FIRE ALARM MODIFICATION I Status: ISSUED Parcel No: 00580700002208 Site Address: 21401 72ND AVE W EDMONDS,WA 98026 Subdivision: BLA PLN20110037, 005807, SP S-98-44 Lot: 0 Fire Sprinklers: Lot Area: Zoning: Valuation: $2,000.00 Occupancy Type: Construction Type: Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0 Scope of Work: EVERETT CLINIC- FIRE ALARM MODIFICATION FOR T/I Applied: 7/1/2021 Issued: 7/6/2021 Final: Expiration Date: 7/1/2022 Issued by: NED WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001 1 CONTACTS NAME TYPE NAME ADDRESS PHONE EMAIL APPLICANT DESIREE FORQUIGNON 1743 1ST AVE S, SEATTLE WA (206)678-3846 DFORQUIGNON@GUARDIANSECURIT 98134 Y.COM CONTACT GUARDIAN SECURITY 1743 1ST AVE S, SEATTLE WA (206)678-3846 dforquignon@guardiansecurity.com SYSTEMS 98134 CONTRACTOR GUARDIAN SECURITY 1743 1ST AVE S, SEATTLE WA (206)622-6545 dforquignon@guardiansecurity.com SYSTEMS INC 98134 HSRE EDMONDS MOB 425 7TH ST NE, OWNER OWNER LLC CHARLOTTESVILLE VA 22902 •' ' • DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT # CITY TECHNOLOGY FEE CHARGED 001.000.321.99.100.00 $40.00 $40.00 7/6/21 R13339 PER PERMIT FIRE ALARM - BLDG BASE FEE 001.000.322.10.000.00 $100.00 $100.00 7/6/21 R13339 MODIFICATION FEE - NUMBER OF 001.000.342.40.000.00 $150.00 $150.00 7/6/21 R13339 HEADS OR DEVICES TOTALS: $290.00 $290.00 CONDITIONS • •NS - Schedule •nline at: https://Inspection.MvBuildingPermit.co COMPLETED SEQID INSPECTION TYPE INSPECTOR DATE F-0 FIRE ADDRESS VISIBLE F-0 FIRE EXTINGUISH EXITS F-1 FIRE ALARM ACCEPT X-1 FIRE FINAL" Printed: Tuesday, July 06, 2021 11:52:37 AM 1 of 1