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FIR2024-0088_Application_9.20.2024_10.34.16_AM_4513862CITY OF EDMONDS M BuildingPermit.com Fire Application #1550590 - Kruger Building Applicant First Name Last Name Company Name Maria Pitney ADT Commercial Number Street Apartment or Suite Number E-mail Address 600 Oaksdale Ave SW 100 nwcommpermits@adt.com City State Zip Phone Number Extension Renton WA 98057 (425) 414-1088 Contractor Company Name ADT COMMERCIAL LLC Number Street Apartment or Suite Number 600 Oakesdale Ave SW 100 City State Zip Phone Number Extension Renton WA 98057 (206) 586-6343 (425) 970-4321 State License Number License Expiration Date UBI # E-mail Address ADTCOCL801 K6 5/28/2026 FD9RD59g5 nwcommpermits@adt.com Project Location Number Street Floor Number Suite or Room Number 21600 HIGHWAY 99 None None City Zip Code County Parcel Number EDMONDS 98026 00580700002900 Associated Building Permit Number Tenant Name Kruger Building Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO Number Street Apartment or Suite Number 4710 196TH ST SW City State Zip LYNNWOOD WA 98036 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: 9/20/2024 Submitted By: Maria Pitney Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1550590 - Kruger Building Project Contact Company Name: ADT Commercial Name: Maria Pitney Email: nwcommpermits@adt.com Address: 600 Oaksdale Ave SW 100 Phone #: (425) 414-1088 Renton WA 98057 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Alarm Project Name: Kruger Building Description of THE INTENT OF THIS PROJECT IS TO EXPAND THE EXISTING CONVENTIONAL FIRE Work: ALARM CONTROL UNIT TO MONITOR NEW FIRE SPRINKLER TAMPER AND WATERFLOW SWITCHES. Project Details Valuation Fair Market Value of Work $3,000 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 dmcintyre@jhkelly.com Page 2 of 2