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FIR2023-0022+Application+3.13.2023_9.09.30_AM+3416424CITY OF EDMONDS Fire Application #1281672 - CHIC Edmonds Applicant First Name Last Name Jennifer Remminq MyBuildingPermit.com Company Name Fire Chief Equip Company Number Street Apartment or Suite Number E-mail Address 14214 NE 21st Street City State Zip Bellevue WA 98007 Contractor Company Name FIRE CHIEF EQUIPMENT CO INC Number Street 14214 NE 21 street City State Zip Bellevue WA 98007 State License Number License Expiration Date UBI # FIRECCE9362Q 5/18/2023 602683436 Project Location Number Street 23320 HIGHWAY 99 JenniferR(aD_Fire-Chief.com Phone Number Extension (425) 641-2127 Apartment or Suite Number Phone Number Extension (425) 641-2127 E-mail Address JenniferR@Fire-Chief.com Floor Number Suite or Room Number 1 0 City Zip Code County Parcel Number EDMONDS 98026 00576700002003 Associated Building Permit Number Tenant Name None CHC of Snohomish County Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name COMMUNITY HEALTH CENTER OF SNO CO Number Street Apartment or Suite Number 8609 EVERGREEN WAY City State Zip EVERETT WA 98208-2619 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: 3/13/2023 Submitted By: Jennifer Remming Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1281672 - CHC Edmonds Project Contact Company Name: Fire Chief Equip Company Name: Jennifer Remming Email: JenniferR@Fire-Chief.com Address: 14214 NE 21st Street Phone #: (425) 641-2127 Bellevue WA 98007 Project Type Mixed Use Activity Type Alteration Project Name: CHC Edmonds Description of Work: Upgrading current communicator to a TG7 Project Details Scope of Work Fire Alarm Transmitter Type Digital Alarm Communicator With Cellular Back Up Fire System Counts Number of Devices 1 Valuation Fair Market Value of Work $4,499 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 khunter@chcsno.org Page 2 of 2