REVIEWED FIR FIR2021-0117+Application+10.22.2021_2.29.51_PM+2478885CITY OF EDMONDS nnyst,ilaingPermit.com
Fire Application #1039267 - Wardak Fire Sprinkler
Applicant
First Name Last Name Company Name
Dave Clarke NOR -TECH Fire Protection, Inc
Number Street Apartment or Suite Number E-mail Address
20030 NE Noveltv Hill Rd. Box B dean(�D_nortechfire.com
City State Zip Phone Number Extension
Redmond WA 98053 (425) 898-9111
Contractor
Company Name
NOR TECH FIRE PROTECTION INC
Number Street Apartment or Suite Number
20030 NE Novelty Hill Rd. Box B
City State Zip Phone Number Extension
Redmond WA 98053 (425) 898-9111
State License Number License Expiration Date UBI # E-mail Address
NORTEFP051P6 10/26/2023 601658769 davec(D_nortechfire.com
Project Location
Number Street Floor Number Suite or Room Number
541 12TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 00535600000200
Associated Building Permit Number Tenant Name
BLD2019-1189
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Islamuddin & Rabia Wardak
Number Street Apartment or Suite Number
4703 219TH AVE SE
City State Zip
MOUNTLAKE WA 98043
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: 10/22/2021 Submitted By: Dave Clarke
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1039267 - Wardak Fire Sprinkler
Project Contact
Company Name: NOR -TECH Fire Protection, Inc
Name: Dave Clarke Email: dean@nortechfire.com
Address: 20030 NE Novelty Hill Rd. Box B Phone #: (425) 898-9111
Redmond WA 98053
Project Type
Single Family Residential
Activity Type Scope of Work
New Fire Sprinkler Systems
Project Name: Wardak Fire Sprinkler
Description of Work: Install NFPA 13D automatic fire sprinkler system in new SFR construction per
plan.
Project Details
Fire System Type
NFPA 13D
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