FIR2023-0062+Application+6.13.2023_12.12.50_PM+3606092CITY OF EDMONDS
Fire Application #1332332 - 19512 Select
Applicant
First Name Last Name
BRENT BESANCON
MyBuildingPermit.com
Company Name
NW Custom Plumbinq
Number Street Apartment or Suite Number E-mail Address
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 #
NWCUSCP791RM
1/24/2024 603373451
Project Location
Number Street
19510 88TH AVE W
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 27041800303400
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
SELECT HOMES INC
Number Street Apartment or Suite Number
16531 13TH AVE W A107
City State Zip
LYNNWOOD WA 98037
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: 6/13/2023 Submitted By: BRENT BESANCON
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1332332 - 19512 Select
Project Contact
Company Name: NW Custom Plumbing
Name: JACOB BRUNS Email: jake.nwcp@outlook.com
Address: 17146 Britt Rd Phone #: (425) 327-4101
Mount Vernon WA 98273-6598
Project Type
Single Family Residential
Activity Type Scope of Work
New Fire Sprinkler Systems
Project Name: 19512 Select
Description of Work: Installation of 13D Fire suppression
Project Details
Fire System Type
NFPA 13D
Contact Information
Owner Email Address
jake.nwcp@outlook.com
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