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FIR2023-0023+Application+3.21.2023_11.00.42_AM+3433502CITY OF EDMONDS Fire Application #1286288 - HD1369 Applicant First Name Last Name HD LLC Number Street 1141 NW 53RD st City State Zip SEATTLE WA 98107 Contractor Company Name HD PARTNERS LLC Number Street 1141 NW 53RD st City State Zip SEATTLE WA 98107 MyBuildingPermit.com Company Name HD Partners Apartment or Suite Number E-mail Address nick(aD_hdpartners.net Phone Number Extension (206) 729-5797 State License Number License Expiration Date UBI # HDPARPL807DD 3/4/2024 603396393 Project Location Number Street 755 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434208302500 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension 2067295797 E-mail Address nick@hdpartners. net Floor Number Suite or Room Number First Name Last Name or Company Name Gretchen G & Bailey James A Pawling Number Street Apartment or Suite Number 755 DALEY ST 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: 3/21/2023 Submitted By: HD LLC Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #1286288 - HD1369 Project Contact Company Name: HD Partners Name: HD LLC Email: nick@hdpartners.net Address: 1141 NW 53RD st Phone #: (206) 729-5797 SEATTLE WA 98107 Project Type Single Family Residential Activity Type Scope of Work New Fire Sprinkler Systems Project Name: HD1369 Description of Work: Install new 13D fire suppression system Project Details Fire System Type NFPA 13D Contact Information Owner Email Address nick@hdpartners.net Page 2 of 2