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FIR2024-0027+Application+3.21.2024_3.14.32_PM+4149821CITY OF EDMONDS Fire Application #1461901 - PACIFIC SAGE Applicant First Name Last Name Camryn Olivarez i MyBuitdingPermit.com Company Name Fire Systems West Number Street Apartment or Suite Number E-mail Address 206 Frontaqe Rd N Ste. C CamrynOna firesystemswest.com City State Zip Pacific WA 98047 Contractor Company Name FIRE SYSTEMS WEST INC Number Street 206 Frontaqe Rd N City State Zip Pacific WA 98047 State License Number License Expiration Date UBI # FIRESWI055LW 6/16/2025 600602737 Project Location Number Street 505 5TH AVE S Phone Number Extension (253) 833-1248 206 Apartment or Suite Number Suite C Phone Number Extension (253) 833-1248 E-mail Address Cam rynO(aD_firesystemswest.com City Zip Code County Parcel Number EDMONDS 98020 01070900000400 Associated Building Permit Number Tenant Name PACIFIC SAGE Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PARAGEN PROPERTIES II LLC Floor Number Suite or Room Number 1 104 Number Street Apartment or Suite Number 23929 W WOODWAY LN City State Zip WOODWAY WA 98020-5229 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: 3/21/2024 Submitted By: Camryn Olivarez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1461901 - PACIFIC SAGE Project Contact Company Name: Fire Systems West Name: Camryn Olivarez Email: CamrynO@firesystemswest.com Address: C 6 Frontage Rd N Ste. Phone #: (253) 833-1248 206 Pacific WA 98047 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Alarm Project Name: PACIFIC SAGE Description of Work: RELOCATE EXISTING NOTIFICATION DEVICES AND INSTALL NEW NOTIFICATION DEVICES FOR TENANT IMPROVEMENT. Project Details Fire System Counts Number of Devices Valuation Fair Market Value of Work 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 7 $2,775 cam ryno@firesystemswest.com Page 2 of 2