FIR2022-0071_Application_7.18.2022_3.16.37_PM_2996419CITY OF EDMONDS M BuildingPermit.com
Fire Application #1174882 - Copperpot Bakery
Applicant
First Name Last Name Company Name
Phi Le Northwest Fire Systems
Number Street Apartment or Suite Number E-mail Address
22645 83rd Ave. S BLDG D PLe@NWFiresystems.com
City State Zip Phone Number Extension
Kent WA 98032 (253) 345-2353
Contractor
Company Name
Northwest Fire Systems LLC
Number Street Apartment or Suite Number
22645 83rd Ave. S BLDG D
City State Zip Phone Number Extension
Kent WA 98032 (253) 345-2353 (206) 772-7502
State License Number License Expiration Date UBI # E-mail Address
NORTHFS928CR 2/20/2024 BD97Ag1 B7 PLe@NWFiresystems.com
Project Location
Number Street Floor Number Suite or Room Number
550 MAIN ST 1 None
City Zip Code County Parcel Number
EDMONDS 98020 00434212001500
Associated Building Permit Number Tenant Name
Copperpot Bakery
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
SEATTLE-SNOHOMISH MILL COMPANY INC
Number Street Apartment or Suite Number
9525 AIRPORT WAY
City State Zip
SNOHOMISH WA 98296
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: 7/18/2022 Submitted By: Phi Le
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1174882 - Copperpot Bakery
Project Contact
Company Name: Northwest Fire Systems
Name: Bryan Farmer Email: BFarmer@NWFiresystems.com
Address: D 645 83rd Ave. S BLDG Phone #: (206) 772-7502
Kent WA 98032
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Sprinkler Systems
Project Name: Copperpot Bakery
Description of Work: Northwest Fire Systems will be adding and/or replacing/relocating fire sprinkler
devices for tenant improvements.
Project Details
Fire System Type
NFPA 13
Fire System Counts
Number of Heads Relocated 4
Valuation
Fair Market Value of Work $3,405
Contact Information
Owner Email Address N/A
Page 2 of 2