FIR2023-0019+Application+3.8.2023_2.50.28_PM+3409657CITY OF EDMONDS M BuildingPermit.com
Fire Application #1279345
- 70021-2 Aldercrest Health & Rehabilitation
Applicant
First Name
Last Name
Company Name
Krystal
Ebner
Guardian Security Systems
Number Street
Apartment or Suite Number E-mail Address
1743 1 st Avenue S
kebner(�D_quardiansecurity.com
City State
Zip
Phone Number Extension
Seattle WA
98134
(206) 622-6545
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 kebner(a)_quardiansecurity.com
Project Location
Number Street
Floor Number Suite or Room Number
21400 72ND AVE W
FACP FACP
City
Zip Code
County Parcel Number
EDMONDS
98026
00580700002301
Associated Building Permit Number
Tenant Name
Aldercrest Health Rehabilitation
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
21400 72ND LLC
Number Street Apartment or Suite Number
PO BOX 580
City State Zip
LAKEWOOD NJ 08701
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: 3/8/2023 Submitted By: Krystal Ebner
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CITY OF EDMONDS M BuildingPerrnit.com
Fire Application #1279345 - 70021-2 Aldercrest Health & Rehabilitation
Project Contact
Company Name: Guardian Security
Systems
Name: Krystal Ebner Email: kebner@guardiansecurity.com
Address: 1743 1 st Avenue S Phone #: (206) 622-6545
Seattle WA 98134
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Alarm
Project Name: 70021-2 Aldercrest Health & Rehabilitation
Description of Work: Installation of AES radio to existing FACP
Project Details
Transmitter Type
Dual Line Digital Alarm Communicator
Fire System Counts
Number of Devices 1
Valuation
Fair Market Value of Work $750
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 kebner@guardiansecurity.com
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