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FIR2021-0153+Application+12.27.2021_11.50.49_AM+2592494CITY OF EDMONDS nnysuilaingPermit.com Fire Application #1069185 - Seattle Skin & Laser Applicant First Name Last Name Company Name Kristopher Conner Cosco Fire Number Street Apartment or Suite Number E-mail Address 4308 South 131st Place kconner(cD_coscofire.com City State Zip Phone Number Extension Tukwila WA 98168 (206)688-8697 Contractor Company Name COSCO FIRE PROTECTION INC Number Street Apartment or Suite Number 4308 S 131 st PI City State Zip Phone Number Extension Tukwila WA 98168 (206) 438-3360 State License Number License Expiration Date UBI # E-mail Address COSCOFP935MS 7/2/2023 601198501 kconner(a)_coscofire.com Project Location Number Street Floor Number 21727 76TH AVE W Main City Zip Code County Parcel Number EDMONDS 98026 00580700002701 Associated Building Permit Number Tenant Name Seattle Skin & Laser Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 92129 Last Name or Company Name HR ACQUISITION I CORPORATION Suite or Room Number Suite F Apartment or Suite Number City State Zip SOUTH LAKE TX 76092 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: 12/27/2021 Submitted By: Kristopher Conner Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Fire Application #1069185 - Seattle Skin & Laser Project Contact Company Name: Cosco Fire Name: Kristopher Conner Email: kconner@coscofire.com Address: 4308 South 131st Place Phone #: (206)688-8697 Tukwila WA 98168 Project Type Activity Type Scope of Work Nonresidential Alteration Fire Alarm Project Name: Seattle Skin & Laser Description of Work: Install notification appliances on existing system for small TI Project Details Transmitter Type Dual Line Digital Alarm Communicator Fire System Counts Number of Devices Valuation Fair Market Value of Work Type of Work Other Panel or Power Supply The work does not involve a new fire alarm panel or power supply 12 $8,786 Page 2 of 2