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FIR2024-0017+Application+2.22.2024_8.40.34_AM+4075120CITY OF EDMONDS Fire Application #1446356 - Victor Tavern Applicant First Name Last Name David Olivas MyBuildingPermit.com Company Name Columbia Fire, LLC. Number Street Apartment or Suite Number E-mail Address 111 S Findlav St City State Zip Seattle WA 98108 Contractor Company Name COLUMBIA FIRE LLC Number Street 111 S. Findlay St City State Zip Seattle WA 98108 State License Number License Expiration Date UBI # COLUMFL795NJ 8/11/2025 602517570 Project Location Number Street 550 MAIN ST david.olivas(a-columbiafire.net Phone Number Extension (206) 232-8569 Apartment or Suite Number Phone Number Extension (206) 232-8569 E-mail Address david.olivas(aD_columbiafire.net City Zip Code County Parcel Number EDMONDS 98020 00434212001500 Associated Building Permit Number Tenant Name Victor Tavern Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 1 None First Name Last Name or Company Name SEATTLE-SNOHOMISH MILL COMPANY INC Number Street Apartment or Suite Number 9525 AIRPORT WAY City State Zip SNOHOMISH WA 98296 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: 2/22/2024 Submitted By: David Olivas Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Fire Application #1446356 - Victor Tavern Project Contact Company Name: Columbia Fire, LLC Name: David Olivas Email: david.olivas@columbiafire.net Address: 111 S Findlay St Phone #: (206) 232-8569 Seattle WA 98108 Project Type Activity Type Scope of Work Mixed Use Alteration Fire Sprinkler Systems Project Name: Victor Tavern Description of Work: Add two dry sprinklers into the new walk-in cooler from the existing system. Per NFPA 13 2016 and the City of Edmonds standards. Project Details Fire System Type NFPA 13 Fire System Counts Number of Heads Added Valuation Fair Market Value of Work Contact Information Owner Email Address 2 $3,454 david.olivas@columbiafire.net Page 2 of 2