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FIR2023-0099_Application_10.3.2023_6.22.05_AM_3817330CITY OF EDMONDS M BuildingPermit.com Fire Application #1384478 - Breakwater Edmonds Hot Permit Applicant First Name Last Name Company Name Mark Leonard Pacific Building Envelope Inc Number Street Apartment or Suite Number E-mail Address 17120 9th Ave SE mark@pacificbuildingenvelope.com City State Zip Phone Number Extension Mukilteo WA 98012 (206) 291-2322 Contractor Company Name Pacific Building Envelope Inc Number Street Apartment or Suite Number 17120 9th ave SE City State Zip Phone Number Extension Mill Creek wa 98012 (206) 291-2322 (425) 512-8455 State License Number License Expiration Date UBI # E-mail Address PACIFBE890J1 4/24/2025 FD:3DAq1 97 mark@pacificbuildingenvelope.com Project Location Number Street Floor Number Suite or Room Number 300 2ND AVE N City Zip Code County Parcel Number EDMONDS 98020 00396200000100 Associated Building Permit Number Tenant Name BLD2023-0039 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Kathleen Karen Jones Number Street Apartment or Suite Number 300 2ND AVE N 1A City State Zip EDMONDS WA 98020 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: 10/3/2023 Submitted By: Mark Leonard Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1384478 - Breakwater Edmonds Hot Permit Project Contact Company Name: Pacific Building Envelope Inc Name: Mark Leonard Email: mark@pacificbuildingenvelope.com Address: 17120 9th Ave SE Phone #: (206) 291-2322 Mukilteo WA 98012 Project Type Activity Type Scope of Work Any Project Type Special Operational Permit Project Name: Breakwater Edmonds Hot Permit Concrete removal at the existing walkway. Upon removal of the concrete we are replacing the Description of metal decking. This requires welding new decking to the existing steel frame. In other Work: miscellaneous locations repairs to individual ribs of the sheet metal get repaired by welding a piece of pipe to the exposed underside of the decking. Project Details Hot Work Operation Description Welding to existing Type of Work Additional Project Information Welding to existing Welding Miscellaneous Installation Type Hot Work Operations Contact Information mark@pacificbuildingenvelope.com. This work is to Owner Email Address weld onto the existing steel walkway structure. The building is currently under repair with a permit number of BLD2023-0039 Page 2 of 2