FIR2020-0105+Application+12.1.2020_9.34.52_AMCITY OF EDMONDS
Fire Application #891494 - Windstar
Applicant
First Name
Last Name
Jason
Duby
Number
Street
809
E Mountainview Ave
City
State Zip
Ellensburq
WA 98926
Contractor
Company Name
ARROW FIRE PROTECTION LLC
Number
Street
809 E. MOUNTAINVIEW AVE
City
State Zip
ELLENSBURG
WA 98926
MyBuildingPermit.com
Company Name
ARROW FIRE PROTECTION LLC
Apartment or Suite Number E-mail Address
arrowid16@gmail.com
Phone Number Extension
4253018707
State License Number License Expiration Date UBI #
ARROWFP847PK 10/30/2022 604048714
Project Location
Apartment or Suite Number
Phone Number Extension
(425)301-8707
E-mail Address
arrowid 16@gmail.com
Number Street Floor Number Suite or Room Number
1001 OLYMPIC AVE
City Zip Code County Parcel Number
EDMONDS 98020 00548900001203
Associated Building Permit Number Tenant Name
BLD2018-1267
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
1001 OLYMPIC AVE LLC
Number Street Apartment or Suite Number
20823 NE 150TH ST
City State Zip
WOODINVILLE WA 98077
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: 12/1/2020 Submitted By: Jason Duby
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #891494 - Windstar
Project Contact
Company Name: ARROW FIRE PROTECTION LLC
Name: Jason Duby Email: arrowjd16@gmail.com
Address: 809 E Mountainview Ave Phone #: 4253018707
Ellensburg WA 98926
Project Type
Single Family Residential
Activity Type Scope of Work
New Fire Sprinkler Systems
Project Name: Windstar
Description of Work: Install 13d system throughout residence
Project Details
Fire System Type
NFPA 13D
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