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FIR2024-0013+Application+2.9.2024_4.22.51_PM+4052376CITY OF EDMONDS 6u Fire Application #1440929 - LA FAVE Applicant First Name Last Name Jeff Brossard i MyBuitdingPermit.com Company Name B&H Fire and Security, LLC Number Street Apartment or Suite Number E-mail Address PO Box 3711 City State Zip Arlinqton WA 98223 Contractor Company Name B & H FIRE AND SECURITY LLC Number Street PO BOX 3711 city ARLINGTON State License Number BHFIRHF842KW Project Location Number Street 201 3RD AVE N city EDMONDS Associated Building Permit Number State Zip WA 98223 License Expiration Date 5/16/2024 JEFF(�i),BNHFIRE.COM Phone Number Extension (425) 244-1445 Apartment or Suite Number Phone Number Extension (425) 244-1445 UBI # E-mail Address 603612112 JEFF(aD-BNHFIRE.COM Zip Code County Parcel Number 98020 00737100010100 Tenant Name LA FAVE Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number all NA First Name Last Name or Company Name John & Dale Olson Number Street Apartment or Suite Number 201 3RD AVE N 101 City State Zip EDMONDS 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: 2/9/2024 Submitted By: Jeff Brossard Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1440929 - LA FAVE Project Contact Company Name: B&H Fire and Security, LLC Name: Jeff Brossard Email: JEFF@BNHFIRE.COM Address: PO Box 3711 Phone #: (425) 244-1445 Arlington WA 98223 Project Type Multifamily Residential Activity Type Alteration Scope of Work Fire Alarm Project Name: LA FAVE Description of FIRE ALARM PANEL REPLACEMENT, ALL NEW INITIATING DEVICES, SMOKES IN Work: CORRIDORS, OUTDOOR HORN STROBE, BELLS IN CORRIDORS CHANGED TO HORN STROBES Project Details Transmitter Type Dual Line Digital Alarm Communicator Fire System Counts Number of Devices Valuation Fair Market Value of Work Type of Work Other Panel or Power Supply The work involves a new fire alarm panel or power supply Contact Information Owner Email Address 55 $10,295 olsonjohndale@gmail.com Page 2 of 2