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FIR2022-0096+Application+9.9.2022_9.56.50_AM+3099231CITY OF EDMONDS MyBuildingPermit.com IF Fire Application #1198285 - ANTHOLOGY OF EDMONDS Applicant First Name Last Name Company Name Tanqi Alfred -Norris Smith Fire Systems, Inc. Number Street Apartment or Suite Number E-mail Address 1106 54th Avenue E talfrednorris(�@_smithfire.com City State Zip Phone Number Extension Tacoma WA 98424 (253) 926-1880 2009 Contractor Company Name SMITH FIRE SYSTEMS INC Number Street Apartment or Suite Number 1106 54th Avenue E City State Zip Phone Number Extension Tacoma WA 98424 (253) 926-1880 State License Number License Expiration Date UBI # E-mail Address SMITHFS1360T 11/2/2022 601046860 talfrednorris(a-)smithfire.com Project Location Number Street Floor Number Suite or Room Number 21200 72ND AVE W ALL None City Zip Code County Parcel Number EDMONDS 98026 00580700000401 Associated Building Permit Number Tenant Name ANTHOLOGY OF EDMONDS Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name CA SENIOR EDMONDS WAS PROPERTY OWNER LLC Number Street Apartment or Suite Number 130 E RANDOLPH ST 2100 City State Zip CHICAGO IL 80601 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: 9/9/2022 Submitted By: Tangi Alfred -Norris Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1198285 - ANTHOLOGY OF EDMONDS Project Contact Company Name: Smith Fire Systems, Inc. Name: Tangi Alfred -Norris Email: talfrednorris@smithfire.com Address: 1106 54th Avenue E Phone #: (253) 926-1880 2009 Tacoma WA 98424 Project Type Mixed Use Activity Type New Project Name: ANTHOLOGY OF EDMONDS Scope of Work Fire Sprinkler Systems SMITH FIRE SYSTEMS (SFS) WILL PROVIDE (1) COMBINATION WET PIPE SPRINKLER / Description of MANUAL WET STANDPIPE SYSTEM WITH SECTIONAL FLOOR CONTROL VALVES TO Work: PROTECT THE HEATED INTERIOR OF THE NEW BUILDING. SFS WILL PROVIDE (2) DRY PIPE SPRINKLER SYSTEMS TO PROTECT THE UNHEATED PARKING GARAGE LEVELS. A CLASS I WET STANDPIPE WILL BE INSTALLED. Project Details Fire System Type NFPA 13 Fire System Counts Number of Heads Added Number of Risers Valuation Fair Market Value of Work Contact Information Owner Email Address 2,019 4 $389,655 markcm@ankrommoisan.com Page 2 of 2