FIR2021-0118+Application+10.25.2021_12.26.00_PM+2481152CITY OF EDMONDS
Fire Application #1039904 - DALEY ST. WEST
Applicant
First Name
Last Name
JERRY
GOIN
Number
Street
Apartment or Suite Num
14690
NE 95TH ST
101
City
State
Zip
REDMOND
WA
98052
Contractor
Company Name
WESTERN STATES FIRE PRTCTN
CO
Number
Street
14690
NE 95TH ST
City
State Zip
Redmond
WA 98052
State License Number
License Expiration Date UBI #
WESTESF136QF
1/19/2023 601049394
Project Location
Number
Street
323
DALEY ST
MyBuildingPermit.com
Company Name
WESTERN STATES FIRE PROTECTION
E-mail Address
JERRY.GOIN(b_WSFP.US
Phone Number Extension
4257368208
Apartment or Suite Number
101
Phone Number Extension
(425) 881-0100 (425) 736-8208
E-mail Address
JERRY.GOIN(cD-WSFP.US
City Zip Code County Parcel Number
EDMONDS 98020 00434211903000
Associated Building Permit Number Tenant Name
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
DALEY STREET BUILDERS LLC
Number Street Apartment or Suite Number
528 PINE ST
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: 10/25/2021 Submitted By: JERRY GOIN
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CITY OF EDMONDS MYBuildingPerrnit.com
Fire Application #1039904 - DALEY ST. WEST
Project Contact
Company Name: WESTERN STATES FIRE
PROTECTION
Name: JERRY GOIN Email: JERRY.GOIN@WSFP.US
Address: 14690 NE 95TH ST 101 Phone #: 4257368208
REDMOND WA 98052
Project Type
Single Family Residential
Activity Type Scope of Work
New Fire Sprinkler Systems
Project Name: DALEY ST. WEST
Description of Work: INSTALL A NEW NFPA 13D TYPE FIRE SPRINKLER SYSTEM W/ 27 HEADS IN
A NEW SFR
Project Details
Fire System Type
NFPA 13D
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