FIR2023-0060+Application+6.13.2023_10.15.57_AM+3605529CITY OF EDMONDS
Fire Application #1330838 - Molly Moon's
Applicant
First Name Last Name
Kathi O'Rear
MyBuildingPermit.com
Company Name
Northwest Fire Systems LLC
Number Street Apartment or Suite Number E-mail Address
22645
83rd Ave S Bldq D
City
State
Zip
Kent
WA
98032
Contractor
Company Name
Northwest Fire Systems LLC
Number
Street
22645
83rd Ave. S
City
State Zip
Kent
WA 98032
State License Number
License Expiration Date UBI #
NORTHFS928CR
2/20/2024 602799167
Project Location
Number
Street
558
MAIN ST
korear(cD_nwfiresystems.com
Phone Number Extension
(206) 772-7502
Apartment or Suite Number
BLDG D
Phone Number Extension
(253) 345-2353 (206) 772-7502
E-mail Address
korear(a)_nwfiresystems.com
City Zip Code County Parcel Number
EDMONDS 98020 00434212001500
Associated Building Permit Number Tenant Name
Molly Moon's
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number Suite or Room Number
1 st 104
First Name Last Name or Company Name
SEATTLE-SNOHOMISH MILL COMPANY INC
Number Street Apartment or Suite Number
9525 AIRPORT WAY
City State Zip
SNOHOMISH WA 98296
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: Kathi O'Rear
Page 1 of 2
CITY OF EDMONDS Mysu;laingPerrnit.com
Fire Application #1330838 - Molly Moon's
Project Contact
Company Name: Northwest Fire Systems LLC
Name: Kathi O'Rear Email: korear@nwfiresystems.com
Address: 22645 83rd Ave S Bldg D Phone #: (206) 772-7502
Kent WA 98032
Project Type Activity Type Scope of Work
Nonresidential Alteration Fire Sprinkler Systems
Project Name: Molly Moon's
Description of Work: Fire sprinkler TI; add/relocate 6 sprinkler heads for new tenant.
Project Details
Fire System Type
NFPA 13
Fire System Counts
Number of Heads Added
6
Valuation
Fair Market Value of Work
$4,461
Contact Information
Owner Email Address
korear@nwfiresystems.com
Page 2 of 2