FIR2021-0116+Application+10.19.2021_3.51.31_PM+2472121CITY OF EDMONDS nn BtaildingPermit.com
Fire Application #1037504 - Sundstone FA for Elevator Modernization
Applicant
First Name Last Name Company Name
Evan Robbins 16D LLC
Number Street Apartment or Suite Number E-mail Address
PO Box 804
City
State
Vashon
WA
Contractor
Company Name
16d LLC
Number
Street
10602
SW 110th ST
City
Vashon
State License Number
16DLLL*882JT
Project Location
Number
Street
1414
9TH AVE N
City
EDMONDS
Associated Building Permit
Number
evan(.@_16dllc.com
Zip Phone Number Extension
98070 2532256025
State Zip
WA 98070
License Expiration Date UBI #
5/15/2022 603092523
Apartment or Suite Number
PO Box 804
Phone Number Extension
(206) 218-4890 (206) 354-0876
E-mail Address
shelley(cD_16dllc.com
Floor Number
All
Zip Code County Parcel Number
98020 00427800100100
Tenant Name
Core and Elevator Machine Room
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Suite or Room Number
Lobbies and
First Name Last Name or Company Name
Ute Leibrandt
Number Street Apartment or Suite Number
1414 9TH AVE N 101
City State Zip
EDMONDS WA 98020-2655
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: 10/19/2021 Submitted By: Evan Robbins
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CITY OF EDMONDS M BuildingPerrnit.com
Fire Application #1037504 - Sundstone FA for Elevator Modernization
Project Contact
Company Name: 16D LLC
Name: Evan Robbins Email: evan@16dl1c.com
Address: PO Box 804 Phone #: 2532256025
Vashon WA 98070
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Alarm
Project Name: Sundstone FA for Elevator Modernization
Description of Work: Install a control panel and detection for elevator control. 9 Devices and control
panel
Project Details
Fire System Counts
Number of Devices 9
Valuation
Fair Market Value of Work $13,500
Type of Work
Other
Panel or Power Supply
The work involves a new fire alarm panel or power
supply
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