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FIR2021-0088+Application+8.4.2021_1.49.20_PM+2339348CITY OF EDMONDS nnysuilaingPermit.com Fire Application #1001306 - Swedish Edmonds OR Applicant First Name Last Name Company Name JENNIFER BREMMEYER COSCO Fire Protection Number Street Apartment or Suite Number E-mail Address 4308 S 131 ST PL ]bremmeyer@coscofire.com City State Zip Phone Number Extension Tukwila WA 98168 (206)438-3380 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 Ibremmeyer@coscofire.com Project Location Number Street Floor Number Suite or Room Number 21616 76TH AVE W b1 or City Zip Code County Parcel Number EDMONDS 98026 00461000100102 Associated Building Permit Number Tenant Name Swedish OR Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name HR ACQUISITION I CORPORATION Number Street Apartment or Suite Number 3310 ND AVE STE 700 ND AVE STE 700 City State Zip NASHVILLE TN 37203 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: 8/4/2021 Submitted By: JENNIFER BREMMEYER Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #1001306 - Swedish Edmonds OR Project Contact Company Name: COSCO Fire Protection Name: JENNIFER BREMMEYER Email: jbremmeyer@coscofire.com Address: 4308 S 131ST PL Phone #: (206)438-3380 Tukwila WA 98168 Project Type Activity Type Scope of Work Nonresidential Alteration Fire Sprinkler Systems Project Name: Swedish Edmonds OR Description of Work: Relocate 10 pendant sprinkler to conform to the tenant improvement Project Details Fire System Type NFPA 13 Fire System Counts Number of Heads Relocated 10 Valuation Fair Market Value of Work $7,370 Page 2 of 2