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FIR2022-0075+Application+8.1.2022_4.48.54_PM+3025986CITY OF EDMONDS Fire Application #1181757 - Alberto's Churros Applicant First Name Last Name Scott Gehlhausen Number Street Apartment or Suite Numl 20628 Broadway Avenue City State Zip Snohomish WA 98296 Contractor Company Name BRIMSTONE FIRE SAFETY MNG LLC Number Street 20628 Broadway Avenue City State Zip Snohomish WA 98296 State License Number License Expiration Date UBI # BRIMSFS918KO 5/27/2023 602918660 Project Location Number Street 405 HOWELL WAY MyBuildingPermit.com Company Name Brimstone Fire Safety Manaqement LLC er E-mail Address Scotty(D_brimstonefiresafety.com Phone Number Extension (425) 502-1836 Apartment or Suite Number Phone Number Extension (425) 5021836 (425) 956-3434 E-mail Address scotty(ab_bri mstonefiresafety.com City Zip Code County Parcel Number EDMONDS 98020 27032600102500 Associated Building Permit Number Tenant Name Alberto's Churros Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 1 no suite number First Name Last Name or Company Name Steven Araujo 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: 8/1/2022 Submitted By: Scott Gehlhausen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1181757 - Alberto's Churros Project Contact Company Name: Brimstone Fire Safety Management LLC Name: Scott Gehlhausen Email: Scotty@brimstonefiresafety.com Address: 20628 Broadway Avenue Phone #: (425) 502-1836 Snohomish WA 98296 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Alarm Project Name: Alberto's Churros Description of Work: Installation of (1) Horn/strobe and (1) strobe only. 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 Contact Information Owner Email Address 2 $4,873 steve@albertoschurros.com Page 2 of 2