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FIR2021-0013+Application+2.9.2021_1.46.32_PM+2039560CITY OF EDMONDS Fire Application #920831 - Evans Resident Applicant First Name Last Name ERIC ALFLEN Number Street Apartment or Suite Numb 2707 70th Ave E City State Zip TACOMA WA 98424 Contractor Company Name PATRIOT FIRE PROTECTION INC Number Street 2707 70th Ave E City State Zip Tacoma WA 98424 State License Number License Expiration Date UBI # PATRIFP099CF 10/5/2022 601269686 Project Location Number Street 20020 83RD AVE W MyBuildingPermit.com Company Name Patriot Fire Protection er E-mail Address Eric.Alflen(a_patriotfire.com Phone Number Extension (253)229-6971 Apartment or Suite Number Phone Number Extension (253) 229-6971 E-mail Address Eric.Alflen(cb_patriotfire.com City Zip Code County Parcel Number EDMONDS 98026 00431200000201 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name Reginald J Evans Number Street Apartment or Suite Number 20020 83RD AVE W City State Zip EDMONDS WA 98026 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: 2/9/2021 Submitted By: ERIC ALFLEN Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #920831 - Evans Resident Project Contact Company Name: Name: Address: ERIC ALFLEN 2707 70TH AVE E TACOMA WA 98424 Email: Eric.Alflen@patriotfire.com Phone #: 2532296971 Project Type Activity Type Scope of Work Single Family Residential New Fire Sprinkler Systems Project Name: Evans Resident Description of Work: The Installation of Above Ground Piping for a Wet Fire Sprinkler System. Project Details Fire System Type NFPA 13D Page 2 of 2