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FIR2023-0015+Application+2.23.2023_1.18.59_PM+3385325CITY OF EDMONDS nnyst,ilaingPermit.com Fire Application #1273328 - Edmonds Medical Center Applicant First Name Last Name Company Name Jared Markewicz Pro -Comm Number Street Apartment or Suite Number E-mail Address 19630 40th Ave W. pc(D_procommwa.com City State Zip Phone Number Extension Lynnwood WA 98036 (425) 774-9099 Contractor Company Name PROTECTION & COMMUNICATNS INC Number Street Apartment or Suite Number 19630 40th Ave. W. City State Zip Phone Number Extension Lynnwood WA 98036 (425) 774-9099 State License Number License Expiration Date UBI # E-mail Address PROTEC1783OF 8/29/2024 600572928 pc(a_procommwa.com Project Location Number Street Floor Number Suite or Room Number 7614 195TH ST SW All 201 City Zip Code County Parcel Number EDMONDS 98026 00539600100100 Associated Building Permit Number Tenant Name 4035798E Edmonds Medical Center Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name SVREAL LLC Number Street Apartment or Suite Number 17338 2ND AVE NW City State Zip SHORELINE WA 98177 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: 2/23/2023 Submitted By: Jared Markewicz Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Fire Application #1273328 - Edmonds Medical Center Project Contact Company Name: Pro -Comm Name: Jared Markewicz Email: pc@procommwa.com Address: 19630 40th Ave W. Phone #: (425) 774-9099 Lynnwood WA 98036 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Alarm Project Name: Edmonds Medical Center Description of Work: Installation of a new Fire Alarm System. Project Details Transmitter Type Digital Alarm Communicator With Cellular Back Up 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 109 $40,000 pc@procommwa.com Page 2 of 2