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FIR2022-0116+Application+11.8.2022_4.11.51_PM+3210287CITY OF EDMONDS MyBuildingPermit.com Fire Application #1227180 - Town Homes - BLGD C - Unit 11 Applicant First Name Last Name Company Name Li Li Columbia Fire, Inc. Number Street Apartment or Suite Number E-mail Address 111 S. Findlay St ligaoli(�D_columbiafire.net City State Zip Phone Number Extension Seattle WA 98108 (206) 232-8569 Contractor Company Name COLUMBIA FIRE LLC Number Street Apartment or Suite Number 111 S. Findlay St City State Zip Phone Number Extension Seattle WA 98108 (206) 232-8569 State License Number License Expiration Date UBI # E-mail Address COLUMFL795NJ 8/11/2023 602517570 1igaoli(cD_columbiafire. net Project Location Number Street Floor Number Suite or Room Number 22810 EDMONDS WAY City Zip Code County Parcel Number EDMONDS 98020 27033600102300 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 KISAN ENTERPRISE LLC Number Street Apartment or Suite Number 20607 SR 9 SE City State Zip SNOHOMISH WA 98296-8316 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: 11/8/2022 Submitted By: Li Li Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.cam Fire Application #1227180 - Town Homes - BLGD C - Unit 11 Project Contact Company Name: Columbia Fire, Inc. Name: Li Li Email: ligaoli@columbiafire.net Address: 111 S. Findlay St Phone #: (206) 232-8569 Seattle WA 98108 Project Type Single Family Residential Activity Type Scope of Work New Fire Sprinkler Systems Project Name: Town Homes - BLGD C - Unit 11 Description of Work: NFPA13D-2016, NEW WET SYSTEM. INSTALL FLOW THROUGH SYSTEM FOR NEW TOWN HOMES, BUILDING C, UNIT 11. TOTAL SPRINKLER HEADS: 15 Project Details Fire System Type NFPA 13D Contact Information Owner Email Address kendra@a1land.com Page 2 of 2