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FIR2024-0123_Application_12.13.2024_11.31.11_AM_4669234F I R2024-0123 RECEIVED CITY OF EDMONDS M BuildingPermit.com Fire Application #1590190 - KROGER #851 QFC-282501752 Applicant First Name Last Name Company Name Joyce Aquino Everon LLC Number Street Apartment or Suite Number E-mail Address 600 Oaksdale Ave SW 100 nwcommpermits@everonsolutions.com City State Zip Phone Number Extension Renton WA 98057 (425) 464-3170 Contractor Company Name ADT COMMERCIAL LLC Number Street Apartment or Suite Number 600 Oakesdale Ave SW 100 City State Zip Phone Number Extension Renton WA 98057 (425) 464-3170 State License Number License Expiration Date UBI # E-mail Address ADTCOCL801 K6 5/28/2026 F;n9sn_r9q.r; nwcommpermits@everonsolutions.com Project Location Number Street Floor Number Suite or Room Number 22828 100TH AVE W 1 None City Zip Code County Parcel Number EDMONDS 98020 00610600300201 Associated Building Permit Number Tenant Name Kroger#851 QFC Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name QUALITY FOOD CENTERS INC Number Street Apartment or Suite Number 1014 VINE ST City State Zip CINCINNATI OH 45202 Certification Statement - The applicant states: I 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. I 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: 12/13/2024 Submitted By: Joyce Aquino Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1590190 - KROGER #851 QFC-282501752 Project Contact Company Name: Everon LLC Name: Joyce Aquino Email: nwcommpermits@everonsolutions.com Address: 600 Oaksdale Ave Phone #: (425) 464-3170 SW 100 Renton WA 98057 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Alarm Project Name: KROGER #851 QFC-282501752 Description of Work: Upgrade all existing FACP communications from dual path POTS line to dual path multi tech communications. 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 does not involve a new fire alarm panel or power supply Contact Information Owner Email Address 4 $819 nwcommpermits@everonsolutions.com Page 2 of 2