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FIR2024-0104_Application_10.22.2024_3.51.37_PM_4575189CITY OF EDMONDS M BuildingPermit.com Fire Application #1565644 - COPPERSTONE CONDOMINIUMS - CELLULAR INSTALL Applicant First Name Alicia Last Name Company Name LaRiva Northwest Fire Systems Number Street 22645 83rd Ave S Apartment or Suite Number E-mail Address Blgd D alariva@nwfiresystems.com City State kent WA Zip Phone Number Extension 98032 (206) 772-7502 Contractor Company Name Northwest Fire Systems LLC Number Street 22645 83rd Ave. S Apartment or Suite Number BLDG D City Kent State Zip Phone Number Extension WA 98032 (253) 651-6470 (206) 772-7502 State License Number NORTHFS875MJ License Expiration Date UBI # E-mail Address 8/10/2025 BD97Pgl B7 alariva@nwfiresystems.com Project Location Number Street 128 4TH AVE S Floor Number Suite or Room Number PARKING NONE City EDMONDS Zip Code County Parcel Number 98020 01016400010000 Associated Building Permit Number Tenant Name COPPERSTONE CONDOMINIUMS Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name NEW 4TH AVE S EDMONDS INC Number Street 17216 73RD AVE W Apartment or Suite Number City EDMONDS State Zip 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: 10/22/2024 Submitted By: Alicia LaRiva Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1565644 - COPPERSTONE CONDOMINIUMS - CELLULAR INSTALL Project Contact Company Name: Northwest Fire Systems Name: Alicia LaRiva Email: alariva@nwfiresystems.com Address: 22645 83rd Ave S Blgd D Phone #: (206) 772-7502 kent WA 98032 Project Type Multifamily Residential Activity Type Alteration Scope of Work Fire Alarm Project Name: COPPERSTONE CONDOMINIUMS - CELLULAR INSTALL NORTHWEST FIRE SYSTEMS WILL BE INSTALLING A CELLULAR MONITORING Description of DEVICE TO MONITOR THE FIRE ALARM CONTROL SYSTEM. THE EXISTING FIRE Work: ALARM CONTROL PANEL IS SUPERVISED FOR GENERAL TROUBLE, SUPERVISORY AND ALARM CONDITIONS. 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 does not involve a new fire alarm panel or power supply Contact Information Owner Email Address 1 $2,500 lelandfoote@gmail.com Page 2 of 2