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FIR2022-0021+Application+2.22.2022_2.07.44_PM+2695806CITY OF EDMONDS nnysuilaingPermit.com Fire Application #1096637 - Edmonds Laundromat Applicant First Name Last Name Company Name Jere Thompson Brimstone Fire Safety Manaqement LLC Number Street Apartment or Suite Number E-mail Address 20628 Broadway Avenue fades ign(cb_brimstonefiresafety.com City State Zip Phone Number Extension Snohomish WA 98296 4259563434 Contractor Company Name BRIMSTONE FIRE SAFETY MNG LLC Number Street Apartment or Suite Number 20628 Broadway Avenue City State Zip Phone Number Extension Snohomish WA 98296 (425) 956-3434 State License Number License Expiration Date UBI # E-mail Address BRIMSFS902BL 1/13/2024 602918660 fadesign(a)_brimstonefiresafety.com Project Location Number Street Floor Number Suite or Room Number 540 5TH AVE S 1 None City Zip Code County Parcel Number EDMONDS 98020 27032600102500 Associated Building Permit Number Tenant Name Edmonds Laundromat Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS CENTER LP Number Street Apartment or Suite Number 403 HOWELL WAY 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: 2/22/2022 Submitted By: Jere Thompson Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #1096637 - Edmonds Laundromat Project Contact Company Name: Brimstone Fire Safety Management LLC Name: Jere Thompson Email: fadesign@brimstonefiresafety.com Address: 20628 Broadway Avenue Phone #: 4259563434 Snohomish WA 98296 Project Type Activity Type Scope of Work Nonresidential Alteration Fire Alarm Project Name: Edmonds Laundromat Description of Work: Install (1) smoke detector, (1) visual strobe & (1) horn strobe. Project Details Fire System Counts Number of Devices 3 Valuation Fair Market Value of Work $4,726 Type of Work Other Panel or Power Supply The work does not involve a new fire alarm panel or power supply Page 2 of 2