FIR2023-0030+Application+4.4.2023_10.28.11_AM+3461713CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1293525 - Anthology of Edmonds Senior Living
Applicant
First Name Last Name Company Name
Richard Grimes Ankrom Moisan Architects
Number Street Apartment or Suite Number E-mail Address
38 NW Davis St 300 richardq(abankrommoisan.com
City State Zip Phone Number Extension
Portland OR 97209 (503) 952-1563
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
21200 72ND AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00580700000401
Associated Building Permit Number Tenant Name
BLD2021-0088 Vacant
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
GARAGE P1, none
First Name Last Name or Company Name
CA SENIOR EDMONDS WAS PROPERTY OWNER LLC
Number Street Apartment or Suite Number
PO BOX 92129
City State Zip
SOUTHLAKE TX 76092
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: 4/4/2023 Submitted By: Richard Grimes
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CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1293525 - Anthology of Edmonds Senior Living
Project Contact
Company Name: Ankrom Moisan Architects
Name: Richard Grimes Email: richardg@ankrommoisan.com
Address: 38 NW Davis St 300 Phone #: (503) 952-1563
Portland OR 97209
Project Type Activity Type Scope of Work
Multifamily Residential New Smoke Control System
Project Name: Anthology of Edmonds Senior Living
Description of Work: Smoke control design for ongoing project in construction.
Project Details
Other
Building Permit # BLD2021-0088
Type of Work
Smoke Control System
Smoke Control Work
The smoke control work is not in association with a
tenant improvement
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