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FIR2023-0040+Application+4.26.2023_10.50.14_PM+3508372CITY OF EDMONDS MyBuildingPermit.com Fire Application #1305967 - Anthology of Edmonds Applicant First Name Last Name Company Name Jennifer Daz Washinqton Alarm Inc Number Street Apartment or Suite Number E-mail Address 2030 Airport Way S permits(a)washingtonalarm.com City State Zip Phone Number Extension Seattle WA 98134 (206) 436-5300 Contractor Company Name Washinqton Alarm Inc Number Street Apartment or Suite Number 2030 Airport Way S City State Zip Phone Number Extension Seattle WA 98134 (206) 328-1800 State License Number License Expiration Date UBI # E-mail Address WASHIAI282C3 12/6/2023 578043086 permits(a_washingtonalarm.com Project Location Number Street Floor Number Suite or Room Number 21200 72ND AVE W 6 City Zip Code County Parcel Number EDMONDS 98026 00580700000401 Associated Building Permit Number Tenant Name 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 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: 4/26/2023 Submitted By: Jennifer Daz Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1305967 - Anthology of Edmonds Project Contact Company Name: Washington Alarm Inc Name: Jennifer Daz Address: 2030 Airport Way S Seattle WA 98134 Project Type Multifamily Residential Email: permits@washingtonalarm.com Phone #: (206) 436-5300 Activity Type New Project Name: Anthology of Edmonds Description of Work: New Fire Alarm Installation. 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 involves a new fire alarm panel or power supply Contact Information Owner Email Address 625 $130,000 Scope of Work Fire Alarm nrobinson@washingtonalarm.com Page 2 of 2