FIR2021-0130+Application+11.17.2021_3.10.15_PM+2525809RECEIVED
F I R2021-0130
Nov 18 2021
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
CITY OF EDMONDS
Fire Application #1051534 - 62901-Bank of America
MyBuildingPermit.com
Applicant
First Name Last Name Company Name
Desiree Forquignon Guardian Security Systems
Number Street Apartment or Suite Number E-mail Address
1743 1 st Ave S dforquignon(cD_quardiansecurity.com
City State Zip Phone Number Extension
Seattle WA 98134 2066783846
Contractor
Company Name
GUARDIAN SECURITY SYSTEMS INC
Number Street Apartment or Suite Number
1743 1st ave s
City State Zip Phone Number Extension
seattle WA 98134 (206) 622-6545
State License Number License Expiration Date LIBI # E-mail Address
GUARDSS233K5 9/30/2022 600189667 dforquignon(c)_quardiansecurity.com
Project Location
Number Street Floor Number Suite or Room Number
306 MAIN ST NONE NONE
City Zip Code County Parcel Number
EDMONDS 98020 00434401600300
Associated Building Permit Number Tenant Name
62901-Bank of America
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
HUI MAIN STREET LLC
Number Street Apartment or Suite Number
2100 22ND AVE S
City State Zip
SEATTLE WA 98144
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: 11/17/2021 Submitted By: Desiree Forquignon
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1051534 - 62901-Bank of America
Project Contact
Company Name: Guardian Security
Systems
Name: Desiree Forquignon Email: dforquignon@guardiansecurity.com
Address: 1743 1 st Ave S Phone #: 2066783846
Seattle WA 98134
Project Type
Nonresidential
Activity Type
Alteration
Project Name: 62901-Bank of America
Description of Work: fire alarm system, adding (14) devices.
Project Details
Transmitter Type
Digital Alarm Communicator With Cellular Back Up
Fire System Counts
Number of Devices
Valuation
Fair Market Value of Work
Type of Work
Other
Panel or Power Supply
The work involves a new fire alarm panel or power
supply
14
$2,000
Scope of Work
Fire Alarm
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