FIR2020-0083+Application+9.29.2020_12.17.14_PMCITY OF EDMONDS
Fire Application #865658 - Driessen Residence
Applicant
First Name Last Name
David Sherepitka
Number Street Apartment or Suite Number
PO Box 206
City
State Zip
Puyallup
WA 98371
Contractor
Company Name
CASCADIA FIRE
PROTECTION LLC
Number
Street
PO Box 206
MyBuildingPermit.com
Company Name
CASCADIA FIRE PROTECTION LLC
E-mail Address
david(�D_cascadiafirepro. com
Phone Number Extension
2532023909
Apartment or Suite Number
City
State Zip
Phone Number Extension
PUYALLUP
WA 98371
(253)202-3909
State License Number
License Expiration Date
UBI # E-mail Address
CASCAFP833L2
6/27/2021
604126260 david(cD_cascadiafirepro.com
Project Location
Number Street
Floor Number Suite or Room Number
9229 OLYMPIC VIEW DR
City
Zip Code
County Parcel Number
EDMONDS
98020
27031300101500
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
Peter Driessen
Number Street Apartment or Suite Number
2610 164TH ST SW A434
City State Zip
LYNNWOOD WA 98087
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: 9/29/2020 Submitted By: David Sherepitka
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #865658 - Driessen Residence
Project Contact
Company Name: LAC CADIA FIRE PROTECTION
Name: David Sherepitka Email: david@cascadiafirepro.com
Address: PO Box 206 Phone #: 2532023909
Puyallup WA 98371
Project Type
Single Family Residential
Activity Type Scope of Work
New Fire Sprinkler Systems
Project Name: Driessen Residence
Description of Work: Install a new residential fire sprinkler system based on NFPA 13D and City
requirements for the new SFR.
Project Details
Fire System Type
NFPA 13D
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