FIR2021-0065+Application+6.26.2021_1.21.04_PM+2271219CITY OF EDMONDS
Fire Application #983333 - Thrive Kids Dentistry
Applicant
First Name Last Name Company Name
JERRY MOFFETT Ace Fire Systems LLC
Number Street Apartment or Suite Number E-mail Address
PO Box 2065 acefiresystems(D_comcast.net
City State Zip Phone Number Extension
Buckley WA 98321 2062768872
Contractor
Company Name
Ace Fire System LLC
Number Street
P.O. box 2065
MyBuildingPermit.com
City
Buckley
State License Number
ACEFIFS908M3
Project Location
Apartment or Suite Number
State Zip Phone Number Extension
WA 98321 (206) 349-1175
License Expiration Date UBI # E-mail Address
7/23/2022 603032125 acefiresystems(a-comcast.net
Number Street
10032 EDMONDS WAY
City Zip Code
EDMONDS 98020
Associated Building Permit Number
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
County Parcel Number
00610700200600
Tenant Name
Thrive Kids Dentistry
Floor Number Suite or Room Number
1 retail 2
First Name Last Name or Company Name
The Village at Westgate LLC The village at Westgate LLC
Number Street Apartment or Suite Number
10032 EDMONDS WAY retail 2
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: 6/26/2021 Submitted By: JERRY MOFFETT
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #983333 - Thrive Kids Dentistry
Project Contact
Company Name: Ace Fire Systems LLC
Name: JERRY MOFFETT Email: acefiresystems@comcast.net
Address: PO Box 2065 Phone #: 2062768872
Buckley WA 98321
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Sprinkler Systems
Project Name: Thrive Kids Dentistry
Description of Work: Convert existing upright heads to pendents at new TI ceilings
Project Details
Fire System Type
NFPA 13
Fire System Counts
Number of Heads Added 32
Valuation
Fair Market Value of Work $8,700
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