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FIR2022-0106+Application+10.10.2022_1.17.46_PM+3155595CITY OF EDMONDS nnyst,ilaingPermit.com Fire Application #1213854 - DL Sigler/ Eastman -King Applicant First Name Last Name Company Name Gary Prokash Gary Prokash Plumbing & Fire Sprinkler, Inc. Number Street Apartment or Suite Number E-mail Address 8731 Maltby Road Suite 2 gpplumbing(�D_msn.com City State Zip Phone Number Extension Snohomish WA 98296 (425) 483-6827 Contractor Company Name GARY PROKASH PLBG/FIRESPKL INC Number Street Apartment or Suite Number 8731 Maltby Road Suite 2 City State Zip Phone Number Extension Snohomish WA 98296 (425) 483-6827 State License Number License Expiration Date UBI # E-mail Address GARYPPP859QF 11/6/2023 603503718 gpplumbinq(D_msn.com Project Location Number Street Floor Number Suite or Room Number 131 SKYLINE DR City Zip Code County Parcel Number EDMONDS 98020 00423000005300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Sue Eastman\gerald E Kinq Number Street Apartment or Suite Number 8433 SE 62ND ST 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: 10/10/2022 Submitted By: Gary Prokash Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #1213854 - DL Sigler/ Eastman -King Project Contact Company Name: Gary Prokash Plumbing & Fire Sprinkler, Inc. Name: Gary Prokash Email: gpplumbing@msn.com Address: 8731 Maltby Road Suite 2 Phone #: (425) 483-6827 Snohomish WA 98296 Project Type Activity Type Scope of Work Single Family Residential New Fire Sprinkler Systems Project Name: DL Sigler/ Eastman -King Description of Work: Installation of new NFPA 13D flow through fire sprinkler system. Project Details Fire System Type NFPA 13D Contact Information Owner Email Address Rick Dempsey Gary Prokash plumbing and fire sprinkler inc. 425-483-6827 Page 2 of 2