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FIR2022-0110+Application+10.28.2022_11.42.34_AM+3191227CITY OF EDMONDS nnyst,ilaingPermit.com Fire Application #1222490 - Rhema Port of Edmonds Applicant First Name Last Name Company Name Madison Stewart Security Solutions NW Number Street Apartment or Suite Number E-mail Address 1619 N State Street madisons(aD_ssnw.co City State Zip Phone Number Extension Bellinqham WA 98225 (360) 935-1316 Contractor Company Name SECURITY SOLUTIONS NORTHWEST Number Street Apartment or Suite Number 1619 N State Street City State Zip Phone Number Extension Bellinqham WA 98225 (360) 9351316 State License Number License Expiration Date UBI # E-mail Address SECURSN954JG 4/7/2023 600528172 madisons@ssnw.co Project Location Number Street Floor Number Suite or Room Number 471 ADMIRAL WAY 1 None City Zip Code County Parcel Number EDMONDS 98020 27032300415800 Associated Building Permit Number Tenant Name Port of Edmonds Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS PORT OF Number Street Apartment or Suite Number 465 ADMIRAL WAY 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: 10/28/2022 Submitted By: Madison Stewart Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1222490 - Rhema Port of Edmonds Project Contact Company Name: Security Solutions NW Name: Madison Stewart Email: madisons@ssnw.co Address: 1619 N State Street Phone #: (360) 935-1316 Bellingham WA 98225 Project Type Nonresidential Activity Type Alteration Project Name: Rhema Port of Edmonds Description of Work: Install new fire alarm system Project Details Transmitter Type Digital Alarm Communicator With Cellular Back Up Fire System Counts Number of Devices 55 Valuation Fair Market Value of Work $12,800 Type of Work Other Panel or Power Supply The work involves a new fire alarm panel or power supply Contact Information Owner Email Address madisons@ssnw.co Scope of Work Fire Alarm Page 2 of 2