FIR2023-0102+Application+10.11.2023_8.23.11_AM+3833872CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1388355 - Landsvrk Custom Home
Applicant
First Name Last Name Company Name
Jerry Ford Water Works Plumbinq Inc
Number Street Apartment or Suite Number E-mail Address
9006 172nd St. SE waterworksplumbinginc(D_outlook.com
City State Zip Phone Number Extension
Snohomish WA 98296 (425) 344-1694
Contractor
Company Name
Water Works Plumbinq Inc
Number Street Apartment or Suite Number
9006 172nd St SE
City State Zip Phone Number Extension
Snohomish WA 98296 (425) 344-1694
State License Number License Expiration Date UBI # E-mail Address
WATERWP011 NP 4/28/2025 601946834 waterworksplumbinginc(a�_outlook.com
Project Location
Number Street Floor Number Suite or Room Number
19515 94TH PL W
City Zip Code County Parcel Number
EDMONDS 98020 00434600005801
Associated Building Permit Number Tenant Name
BLD 2023-1156
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Duane & Deanne Landsverk
Number Street Apartment or Suite Number
24113 56TH AVE W
City State Zip
MOUNTLAKE WA 98043
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: 10/11/2023 Submitted By: Jerry Ford
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1388355 - Landsvrk Custom Home
Project Contact
Company Name: Water Works Plumbing
Inc
Name: Jerry Ford Email: waterworksplumbinginc@outlook.com
Address: 9006 172nd St. SE Phone #: (425) 344-1694
Snohomish WA 98296
Project Type
Single Family Residential
Activity Type Scope of Work
New Fire Sprinkler Systems
Project Name: Landsvrk Custom Home
Description of Work: Install 37 new fire sprinkler heads in a new SFR flow through fire sprinkler
system.
Project Details
Fire System Type
NFPA 13D
Contact Information
Owner Email Address waterworksplumbinginc@outlook.com
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