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FIR2024-0019+Application+2.27.2024_11.56.21_AM+4085727CITY OF EDMONDS MyBuildingPermit.com Fire Application #1448760 - Pacific Sage Partners TI Applicant First Name Last Name Company Name Theron Davis Fire Systems West Number Street Apartment or Suite Number E-mail Address 206 Frontaqe Rd N Suite C therond(cDfiresystemswest.com City State Zip Phone Number Extension Pacific WA 98047 (253) 833-1248 125 Contractor Company Name FIRE SYSTEMS WEST INC Number Street Apartment or Suite Number 206 Frontaqe Rd N Suite C City State Zip Phone Number Extension Pacific WA 98047 (253) 833-1248 State License Number License Expiration Date UBI # E-mail Address FIRESWI140131 10/16/2025 600602737 therond(c_firesystemswest.com Project Location Number Street Floor Number Suite or Room Number 505 5TH AVE S 1 104 City Zip Code County Parcel Number EDMONDS 98020 01070900000400 Associated Building Permit Number Tenant Name Pacific Saqe Partners Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PARAGEN PROPERTIES II LLC Number Street Apartment or Suite Number 23929 W WOODWAY LN City State Zip WOODWAY WA 98020 Certification Statement - The applicant states: 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. 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: 2/27/2024 Submitted By: Theron Davis Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1448760 - Pacific Sage Partners TI Project Contact Company Name: Fire Systems West Name: Theron Davis Email: therond@firesystemswest.com Address: C 6 Frontage Rd N Suite Phone #: (253) 833-1248 125 Pacific WA 98047 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Sprinkler Systems Project Name: Pacific Sage Partners TI Description of Work: Add and relocate 14 sprinkler heads for new walls in existing office space. Project Details Fire System Type NFPA 13 Fire System Counts Number of Heads Added Number of Heads Relocated Valuation Fair Market Value of Work Contact Information Owner Email Address 11 3 $4,800 therond@firesystemswest.com Page 2 of 2