FIR2022-0141+Application+12.28.2022_9.50.46_AM+3287411CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1246689
- Nickolson Office Building 1st Floor West TI
Applicant
First Name
Last Name
Company Name
Beth
Campbell
CG Engineering
Number Street
Apartment or Suite Number E-mail Address
250 4th Ave South
200 beth((_cgengineerinq.com
City State
Zip
Phone Number Extension
Edmonds WA
98020
(425) 778-8500 117
Contractor
Company Name
SCOTT DELAP CONSTRUCTION
INC
Number Street
Apartment or Suite Number
3517 95th PI SE
City
State Zip
Phone Number Extension
Everett
WA 98208
(206) 819-6757
State License Number
License Expiration Date
UBI # E-mail Address
SCOTTDC970131
2/6/2023
602262691 scottdelapconstruction(a-)_comcast.net
Project Location
Number Street
Floor Number Suite or Room Number
250 4TH AVE S
1 102
City
Zip Code
County Parcel Number
EDMONDS
98020
27032300414300
Associated Building Permit Number
Tenant Name
BLD2022-0722
CG Engineerinq
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
CG TNT LLC & BETH CAMPBELL
Number Street Apartment or Suite Number
250 4TH AVE S 200
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: 12/28/2022 Submitted By: Beth Campbell
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CITY OF EDMONDS M BuildingPerrnit.com
Fire Application #1246689 - Nickolson Office Building 1st Floor West TI
Project Contact
Company Name: CG Engineering
Name: Beth Campbell Email: beth@cgengineering.com
Address: 250 4th Ave South 200 Phone #: (425) 778-8500 117
Edmonds WA 98020
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Alarm
Project Name: Nickolson Office Building 1st Floor West TI
Description of Work: Relocate 4 devices and add 1 device for this office area alteration
Project Details
Transmitter Type
Dual Line Digital Alarm Communicator
Fire System Counts
Number of Devices 5
Valuation
Fair Market Value of Work $2,500
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 Chevy@cgengineering.com
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