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FIR2023-0046+Application+5.4.2023_4.22.33_PM+3526274CITY OF EDMONDS nnyst,ilaingPermit.com Fire Application #1310638 - Edmonds Medical Plaza Applicant First Name Last Name Company Name Taylor Bentem Pro -Tech Electric Inc Number Street Apartment or Suite Number E-mail Address 1126 Bonneville Ave Tbentem((:D_pro-techelectric.com City State Zip Phone Number Extension Snohomish WA 98290 (425) 334-9844 Contractor Company Name PRO TECH ELECTRIC INC Number Street Apartment or Suite Number PO Box 12755 City State Zip Phone Number Extension EVERETT WA 98206 (425) 334-9844 State License Number License Expiration Date UBI # E-mail Address PROTETE934JC 4/3/2025 602694961 Tbentem(cDpro-techelectric.com Project Location Number Street Floor Number 21616 76TH AVE W 2 City Zip Code County Parcel Number EDMONDS 98026 00461000100101 Associated Building Permit Number Tenant Name Edmonds Medical Plaza Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 92129 Last Name or Company Name HR ACQUISITION I CORPORATION Suite or Room Number 202 Apartment or Suite Number City State Zip SOUTH LAKE TX 76092 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: 5/4/2023 Submitted By: Taylor Bentem Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1310638 - Edmonds Medical Plaza Project Contact Company Name: Pro -Tech Electric Inc Name: Nick Dammann Email: Nick@pro-techelectric.com Address: 1126 Bonneville Ave Phone #: (425) 334-9844 Snohomish WA 98290 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Alarm Project Name: Edmonds Medical Plaza Remodel of the second -floor space, building is not sprinkled. There is an existing addressable Description of fire alarm system. We are adding devices to meet the new configuration. There is an existing Work: auxiliary power supply that comes to the space, we will utilize that for our notification devices. We are relocating existing smoke and heat detectors. Project Details Fire System Counts Number of Devices Valuation Fair Market Value of Work Type of Work Other Panel or Power Supply The work involves a new fire alarm panel or power supply Contact Information Owner Email Address 11 $20,000 Tbentem@pro-techelectric.com Page 2 of 2