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FIR2022-0008+Application+1.26.2022_3.55.16_PM+2643849CITY OF EDMONDS MyBuildingPermit.com Fire Application #1079269 - SMC Edmonds 704-705-706 Applicant First Name Last Name Company Name Alexandra Groom COSCO FIRE PROTECTION Number Street Apartment or Suite Number E-mail Address 4308 S. 131st PL agroom(,@_coscofire.com City State Zip Phone Number Extension Tukwila WA 98168 2064383376 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 COSCOFP110NM 1/14/2023 601198501 agroom@coscofire.com Project Location Number Street Floor Number Suite or Room Number 21601 76TH AVE W 7th 704-705-706 City Zip Code County Parcel Number EDMONDS 98026 00580700002500 Associated Building Permit Number Tenant Name Swedish Medical Center Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO Number Street Apartment or Suite Number 4710 196TH ST SW City State Zip LYNNWOOD WA 98036-5517 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: 1/26/2022 Submitted By: Alexandra Groom Page 1 of 2 i CITY OF EDMONDS MyBuildingPerrnicot.m „c Fire Application #1079269 - SMC Edmonds 704-705-706 Project Contact Company Name: COSCO FIRE PROTECTION Name: Alexandra Groom Email: agroom@coscofire.com Address: 4308 S. 131st PL Phone #: 2064383376 Tukwila WA 98168 Project Type Activity Type Scope of Work Nonresidential Alteration Fire Sprinkler Systems Project Name: SMC Edmonds 704-705-706 Description of Work: Lower pendent sprinklers into the new cloud ceilings. Project Details Fire System Type NFPA 13 Fire System Counts Number of Heads Added 4 Number of Heads Relocated 3 Valuation Fair Market Value of Work $7,544 Page 2 of 2