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FIR2021-0146_Application_12.10.2021_8.49.41_AM_2564951CITY OF EDMONDS M BuildingPermit.com Fire Application #1062509 - Pacific Park Apartments Applicant First Name Last Name Company Name Moore Fire Protection Moore Fire Protection Number Street Apartment or Suite Number E-mail Address 113 Cherry St PMB #41900 permits@moorefire.com City State Zip Phone Number Extension Seattle WA 98104 4252715598 Contractor Company Name Moore Fire Protection Number Street Apartment or Suite Number 113 Cherry St PMB #41900 City State Zip Phone Number Extension Seattle WA 98104 (425) 271-5598 State License Number License Expiration Date UBI # E-mail Address MOOREFP116NP 8/26/2023 FD1 1 A1141 permits@moorefire.com Project Location Number Street Floor Number Suite or Room Number 23207 HIGHWAY 99 S City Zip Code County Parcel Number EDMONDS 98026 00576700001411 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 STEPHANUS PAUL & BARBARA LLC Number Street Apartment or Suite Number 219 E GARFIELD ST 600 City State Zip SEATTLE WA 98102 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: 12/10/2021 Submitted By: Moore Fire Protection Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1062509 - Pacific Park Apartments Project Contact Company Name: Moore Fire Protection Name: Moore Fire Protection Email: permits@moorefire.com Address: 113 Cherry St PMB #41900 Phone #: 4252715598 Seattle WA 98104 Project Type Single Family Residential Activity Type Scope of Work Alteration Fire Sprinkler Systems Project Name: Pacific Park Apartments Description of Reroute interconnected underground standpipe piping on A, D and E buildings utilizing Work: black and galvanized piping, up to 6 standpipes total. OTC fire line replacement, no review per Assistant Fire Marshal Karl Fitterer. Project Details Fire System Type NFPA 13 Type of Work Pump Page 2 of 2