FIR2023-0028+Application+3.29.2023_7.19.33_PM+3452394CITY OF EDMONDS nnyst,ilaingPermit.com
Fire Application #1291083 - Select Homes Lot 1
Applicant
First Name Last Name Company Name
BRENT BESANCON NW Custom Plumbinq
Number Street Apartment or Suite Number E-mail Address
17146 Britt Rd brent.nwcp(D_outlook.com
City State Zip Phone Number Extension
Mount Vernon WA 98273-6598 (206) 660-7442
Contractor
Company Name
NW Custom Plumbinq LLC
Number Street
Apartment or Suite Number
3405 172nd st ne
5-158
City
State Zip
Phone Number Extension
Arlinqton
WA 98223
(206) 660-7442
State License Number
License Expiration Date
UBI # E-mail Address
NWCUSCP791RM
1/24/2024
603373451 brent.nwcp(c_outlook.com
Project Location
Number Street
Floor Number Suite or Room Number
7918 203RD ST SW
City
Zip Code
County Parcel Number
EDMONDS
98026
27041900112700
Associated Building Permit Number
Tenant Name
BLD2022-1087
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
SELECT HOMES INC
Number Street Apartment or Suite Number
8304 212TH ST SW
City State Zip
EDMONDS WA 98026
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: 3/29/2023 Submitted By: BRENT BESANCON
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1291083 - Select Homes Lot 1
Project Contact
Company Name: NW Custom Plumbing
Name: Jake 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: Select Homes Lot 1
Description of Work: Installation of 13D fire suppression
Project Details
Fire System Type
NFPA 13D
Contact Information
Owner Email Address Jake Bruns Jake.nwcp@outlook.com
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