FIR2022-0123+Application+11.10.2022_10.36.43_PM+3215275CITY OF EDMONDS nnyst,ilaingPermit.com
Fire Application #1228459 - 67943-Edmonds Yacht Club
Applicant
First Name
Last Name
Company Name
Desiree
Forquiqnon
Guardian Security Systems
Number Street
Apartment or Suite Number E-mail Address
1743 1 st Ave S
dforquignon(D_quardiansecurity.com
City State
Zip
Phone Number Extension
Seattle WA
98134
(206) 678-3846
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
UBI # E-mail Address
GUARDSS233K5
9/30/2024
600189667 dforquignon(c)_quardiansecurity.com
Project Location
Number Street
Floor Number Suite or Room Number
326 ADMIRAL WAY
none none
City
Zip Code
County Parcel Number
EDMONDS
98020
27032300401400
Associated Building Permit Number
Tenant Name
67943-Edmonds Yacht Club
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
EDMONDS PORT OF
Number Street Apartment or Suite Number
300 ADMIRAL 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: 11/10/2022 Submitted By: Desiree Forquignon
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CITY OF EDMONDS M BuildingPerrnit.com
Fire Application #1228459 - 67943-Edmonds Yacht Club
Project Contact
Company Name: Guardian Security
Systems
Name: Desiree Forquignon Email: dforquignon@guardiansecurity.com
Address: 1743 1 st Ave S Phone #: (206) 678-3846
Seattle WA 98134
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Alarm
Project Name: 67943-Edmonds Yacht Club
Description of Work: fire alarm system, tenant improvement, adding (20) devices.
Project Details
Transmitter Type
Dual Line Digital Alarm Communicator
Fire System Counts
Number of Devices 20
Valuation
Fair Market Value of Work $6,500
Type of Work
Other
Panel or Power Supply
The work involves a new fire alarm panel or power
supply
Contact Information
Owner Email Address dforquignon@guardiansecurity.com
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