FIR2021-0031+Application+3.31.2021_12.45.58_PM+2120693CITY OF EDMONDS
Fire Application #942258 - Farewinds Lot #3
Applicant
First Name Last Name
Jason Duby
Number Street Apartment or Suite Number
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
State License Number
License Expiration Date UBI #
ARROWFP847PK 10/30/2022 604048714
Project Location
MyBuildingPermit.com
Company Name
ARROW FIRE PROTECTION LLC
E-mail Address
arrowid16@gmail.com
Phone Number Extension
4253018707
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
917 PINE ST
City Zip Code County Parcel Number
EDMONDS 98020 27032500116900
Associated Building Permit Number Tenant Name
BLD20190184
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
PINE STREET VIEWS LLC
Number Street Apartment or Suite Number
13110 NE 177TH PL 194
City State Zip
WOODINVILLE WA 98072
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: 3/31/2021 Submitted By: Jason Duby
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #942258 - Farewinds Lot #3
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: Farewinds Lot #3
Description of Work: Passive purge 13D sprinkler system
Project Details
Fire System Type
NFPA 13D
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