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FIR2021-0079+Application+7.26.2021_5.13.46_PM+2322501CITY OF EDMONDS MyBuitdingPermit.com Fire Application #996599 - 114033289-01 SCOTT'S BAR & GRILL Applicant First Name Last Name Company Name JCI Permits Johnson Controls Number Street Apartment or Suite Number E-mail Address 19625 62nd AVE S C112 brianna.bowlinq(a@ici.com City State Zip Phone Number Extension kent WA 98032 2537967247 Contractor Company Name Tyco Inteqrated Security LLC Number Street Apartment or Suite Number 19625 62nd Ave So C112 City State Zip Phone Number Extension Kent WA 98032 (253) 796-7247 State License Number License Expiration Date UBI # E-mail Address JOHNSCS8371\14 8/23/2023 601636830 brianna.bowl inq(D_ici.com Project Location Number Street Floor Number Suite or Room Number 8115 244TH ST SW 1 NONE City Zip Code County Parcel Number EDMONDS 98026 00491100001505 Associated Building Permit Number Tenant Name SCOTT'S BAR & GRILL Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name RESTAURANTS UNLMTED INC Number Street Apartment or Suite Number 1510 W LOOP S City State Zip HOUSTON TX 77027 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: 7/26/2021 Submitted By: JCI Permits Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #996599 - 114033289-01 SCOTT'S BAR & GRILL Project Contact Company Name: Johnson Controls Name: JCI Permits Email: brianna.bowling@jci.com Address: 19625 62nd AVE S C112 Phone #: 2537967247 kent WA 98032 Project Type Activity Type Scope of Work Nonresidential Alteration Fire Alarm Project Name: 114033289-01 SCOTT'S BAR & GRILL Description of Work: Installing TG7 for sole path communicator and taking over monitoring of BA. Project Details Fire System Counts Number of Devices 1 Additional Project Information Alarm panel installation only, no devices. Valuation Fair Market Value of Work $715 Panel or Power Supply The work involves a new fire alarm panel or power supply Page 2 of 2