FIR2022-0012+Application+2.8.2022_3.23.15_PM+2669421CITY OF EDMONDS
Fire Application #1089678 - Hoy Residence
Applicant
First Name Last Name
BRENT BESANCON
Number Street Apartment or Suite Numb
17146
Britt Rd
City
State
Zip
Mount Vernon
WA
98273-6598
Contractor
Company Name
NW Custom Plumbinq
LLC
Number
Street
3405
172nd st ne
City
State Zip
Arlinqton
WA 98223
State License Number
License Expiration Date UBI #
nwcuscp861 cs
2/20/2022 603373451
Project Location
Number
Street
8051
184TH ST SW
MyBuildingPermit.com
Company Name
NW Custom Plumbinq
er E-mail Address
brent.nwcp(D_outlook.com
Phone Number Extension
(206)660-7442
Apartment or Suite Number
5-158
Phone Number Extension
(206) 660-7442
E-mail Address
brent.nwcp(c_outlook.com
City Zip Code County Parcel Number
EDMONDS 98026 27041800103800
Associated Building Permit Number Tenant Name
BLD2019-1553
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number Suite or Room Number
First Name Last Name or Company Name
Gregory & Oka Midori Hoy
Number Street Apartment or Suite Number
2630 77TH AVE SE A515
City State Zip
MERCER ISLAND WA 98040
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: 2/8/2022 Submitted By: BRENT BESANCON
Page 1 of 2
i
CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1089678 - Hoy Residence
Project Contact
Company Name: NW Custom Plumbing
Name: BRENT BESANCON Email: brent.nwcp@outlook.com
Address: 17146 Britt Rd Phone #: (206)660-7442
Mount Vernon WA 98273-6598
Project Type
Single Family Residential
Activity Type Scope of Work
New Fire Sprinkler Systems
Project Name: Hoy Residence
Description of Work: Installation of 13D Sprinkler system
Project Details
Fire System Type
NFPA 13D
Page 2 of 2