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FIR2021-0150+Application+12.20.2021_12.12.24_PM+2582856CITY OF EDMONDS MyBuildingPermit.com Fire Application #1067032 - Edmonds Lutheran Church Repairs Applicant First Name Last Name Company Name Jason Davis AAA Fire Protection Inc Number Street Apartment or Suite Number E-mail Address 3013 3rd Ave N jdavis a@aaafire.com City State Zip Phone Number Extension Seattle WA 98109 12065523491 Contractor Company Name AAA FIRE PROTECTION INC Number Street Apartment or Suite Number 3013 3rd Ave N City State Zip Phone Number Extension Seattle WA 98109 206-284-1721 State License Number License Expiration Date UBI # E-mail Address AAAFIFP844PS 10/10/2022 600579238 Idavis(a-)_aaafire.com Project Location Number Street Floor Number Suite or Room Number 23525 84TH AVE W 1 None City Zip Code County Parcel Number EDMONDS 98026 00576700002509 Associated Building Permit Number Tenant Name Edmonds Lutheran Church Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Unknown Unknown Number Street Apartment or Suite Number 23525 84TH AVE W None City State Zip EDMONDS WA 98026 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: 12/20/2021 Submitted By: Jason Davis Page 1 of 2 i o CITY OF EDMONDS MyBuildingPerrnit.cm „c Fire Application #1067032 - Edmonds Lutheran Church Repairs Project Contact Company Name: AAA Fire Protection Inc Name: Jason Davis Email: jdavis@aaafire.com Address: 3013 3rd Ave N Phone #: 12065523491 Seattle WA 98109 Project Type Activity Type Scope of Work Nonresidential New Kitchen Hood and Duct Project Name: Edmonds Lutheran Church Repairs Description of Work: Replace non UL300 Control Head Project Details Fire System Counts Total Number of Systems and/or Equipment 1 Page 2 of 2