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FIR2021-0135+Application+11.30.2021_12.19.06_PM+2543883CITY OF EDMONDS Fire Application #1056419 - Rory's Bar & Grill Applicant First Name Last Name STEPHEN PRICE Number Street Apartment or Suite Nun 301 Porter Way City State Zip MILTON WA 98354 Contractor Company Name PERFORMANCE SYSTEMS INTGN LLC Number Street 19310 North Creek Pkwy City State Zip BOTHELL WA 98011 State License Number License Expiration Date UBI # PERFOSIS1850 8/20/2023 604486615 Project Location Number Street 105 MAIN ST MyBoildingPermit.com Company Name Performance Systems Integration, LLC :r E-mail Address stephen.price(.@_psintegrated.com Phone Number Extension (206)719-9173 Apartment or Suite Number Ste 109 Phone Number Extension (253)896-5117 E-mail Address stephen.price(a)_psi ntegrated. com City Zip Code County Parcel Number EDMONDS 98020 00434401201202 Associated Building Permit Number Tenant Name Rory's Bar & Grill Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 1 None First Name Last Name or Company Name KODA HOLDINGS LLC Number Street Apartment or Suite Number 11000 WACHUSETT ROAD City State Zip WOODWAY WA 98020 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: 11/30/2021 Submitted By: STEPHEN PRICE Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #1056419 - Rory's Bar & Grill Project Contact Company Name: Performance Systems Integration, LLC Name: STEPHEN PRICE Email: stephen.price@psintegrated.com Address: 301 Porter Way Phone #: (206)719-9173 MILTON WA 98354 Project Type Nonresidential Activity Type New Scope of Work Kitchen Hood and Duct Project Name: Rory's Bar & Grill Description of Work: Upgrade control head and cylinder for existing hood system. Replace incorrect nozzles and add new to ensure proper coverage. Project Details Fire System Counts Total Number of Systems and/or Equipment 10 Page 2 of 2