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FIR2022-0035+Application+4.1.2022_10.28.12_AM+2775851CITY OF EDMONDS MyBuildingPermit.com Fire Application #1117681 - Alberto's Churros Applicant First Name Last Name Company Name Kai Manley Number Street Apartment or Suite Number E-mail Address 111 S. Findlay St kai(,@_columbiafire.net City State Zip Phone Number Extension Seattle WA 98108 253 904 6481 Contractor Company Name COLUMBIA FIRE LLC Number Street Apartment or Suite Number 111 S. Findlay St City State Zip Phone Number Extension Seattle WA 98108 253 904 6481 State License Number License Expiration Date UBI # E-mail Address COLUMFL795NJ 8/11/2023 602517570 kai@columbiafire.net Project Location Number Street Floor Number Suite or Room Number 405 HOWELL WAY 1 None City Zip Code County Parcel Number EDMONDS 98020 27032600102500 Associated Building Permit Number Tenant Name Alberto's Churros Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS CENTER LP Number Street Apartment or Suite Number 405 HOWELL WAY City State Zip EDMONDS 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: 4/1/2022 Submitted By: Kai Manley Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #1117681 - Alberto's Churros Project Contact Company Name: Name: Address: Project Type Nonresidential Kai Manley Email: kai@columbiafire.net 111 S. Findlay St Phone #: 253 904 6481 Seattle WA 98108 Activity Type Alteration Scope of Work Fire Sprinkler Systems Project Name: Alberto's Churros Description of Work: Adding dry pendants in walk-in coolers. Project Details Fire System Type NFPA 13 Valuation Fair Market Value of Work $3,250 Page 2 of 2