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FIR2023-0054+Application+6.2.2023_5.16.39_AM+3583103CITY OF EDMONDS nnyst,ilaingPermit.com Fire Application #1326311 - pickering edmonds 300 Applicant First Name Last Name Company Name Geoff Roach Rain City Fire Protection Number Street Apartment or Suite Number E-mail Address 8220 Interlake Ave N groach40(a_gmail.com City State Zip Phone Number Extension SEATTLE WA 98103 (206) 992-1090 Contractor Company Name RAIN CITY FIRE PROTECTION Number Street Apartment or Suite Number 8220 INTERLAKE AVE N City State Zip Phone Number Extension SEATTLE WA 98103 (206)992-1090 State License Number License Expiration Date UBI # E-mail Address RAINCCF798D2 4/13/2025 604667162 clroach40(d_)gmail.com Project Location Number Street Floor Number Suite or Room Number 300 6TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00434212201900 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 Chris H Pickering Number Street Apartment or Suite Number 2611 NE 113TH ST 300 City State Zip SEATTLE WA 98125 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: 6/2/2023 Submitted By: Geoff Roach Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #1326311 - pickering edmonds 300 Project Contact Company Name: Rain City Fire Protection Name: Geoff Roach Email: groach40@gmaii.com Address: 8220 Interlake Ave N Phone #: (206) 992-1090 SEATTLE WA 98103 Project Type Activity Type Scope of Work Single Family Residential New Fire Sprinkler Systems Project Name: pickering edmonds 300 Description of Work: install fire protection system in new construction sfr. per NFPA 13D Project Details Fire System Type NFPA 13D Contact Information Owner Email Address crispygreen@comcast.net Page 2 of 2