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FIR2022-0001+Application+1.6.2022_10.36.01_AM+2606591CITY OF EDMONDS Fire Application #1072724 - HD1205 Helleren Applicant First Name Last Name chris hynek Number Street Apartment or Suite Number 1535 NW 49th St. City State Zip seattle WA 98107 Contractor Company Name HD PARTNERS LLC Number Street 1141 nw 53rd st City State Zip SEATTLE WA 98107 State License Number License Expiration Date UBI # HDPARPL807DD 3/4/2022 603396393 Project Location Number Street 10729 226TH ST SW City Zip Code County Parcel Number EDMONDS 98020 27032500316600 Associated Building Permit Number Tenant Name BLD2020-0965 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name HD Partners E-mail Address office(@_hdpartners.net Phone Number Extension 2067185646 Apartment or Suite Number Phone Number Extension 2067295797 E-mail Address off ice(aD_hdpartners.net Floor Number Suite or Room Number First Name Last Name or Company Name Leif T & Kimberly J Helleren Number Street Apartment or Suite Number 2522 192ND ST City State Zip SHORELINE WA 98177 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: 1/6/2022 Submitted By: Chris hynek Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #1072724 - HD1205 Helleren Project Contact Company Name: Name: Address: Nick Hansen 1141 nw 53rd st SEATTLE WA 98107 Project Type Single Family Residential Email: nick@hdpartners.net Phone #: 2067192805 Activity Type Scope of Work New Fire Sprinkler Systems Project Name: HD1205 Helleren Description of Work: Installation of new 13D fire system on a new construction single family home. Project Details Fire System Type NFPA 13D Page 2 of 2