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FIR2021-0025_Application_3.16.2021_9.55.31_AM_2094516CITY OF EDMONDS M BuildingPermit.com Fire Application #935611 - Hero Ace Hardware Applicant First Name Last Name Company Name Jeffrey Harasimowitz Patriot Fire Protection, Inc. Number Street Apartment or Suite Number E-mail Address 2707 70th Ave. East jeffh@patriotfire.com City State Zip Phone Number Extension Tacoma WA 98424 (757)784-7060 Contractor Company Name PATRIOT FIRE PROTECTION INC Number Street Apartment or Suite Number 2707 70th Ave E City State Zip Phone Number Extension Tacoma WA 98424 2532843447 7577847060 State License Number License Expiration Date UBI # E-mail Address PATRIFP8370Q 10/11/2021 Rol gRw;m jeffh@patriotfire.com Project Location Number Street Floor Number Suite or Room Number 550 5TH AVE S 1 None City Zip Code County Parcel Number EDMONDS 98020 27032600102500 Associated Building Permit Number Tenant Name Hero Ace Hardware Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name EDMONDS CENTER LP Number Street Apartment or Suite Number 403 HOWELL WAY City State Zip EDMONDS WA 98020 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: 3/16/2021 Submitted By: Jeffrey Harasimowitz Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #935611 - Hero Ace Hardware Project Contact Company Name: Patriot Fire Protection, Inc. Name: Jeffrey Harasimowitz Email: jeffh@patriotfire.com Address: 2707 70th Ave. East Phone #: (757)784-7060 Tacoma WA 98424 Project Type Activity Type Scope of Work Nonresidential Alteration Fire Alarm Project Name: Hero Ace Hardware Description of Work: Add (1) monitor module to fire alarm system. Module will supervise Ansul hood system in kitchen. Project Details Fire System Counts Number of Devices 1 Valuation Fair Market Value of Work $3,000 Panel or Power Supply The work does not involve a new fire alarm panel or power supply Page 2 of 2