FIR2023-0066+Application+7.7.2023_7.22.48_AM+3652176CITY OF EDMONDS
Fire Application #1342974 - Duffy Residence
Applicant
First Name
Last Name
Michelle
Hillstrom
Number Street
Apartment or Suite N
11505 Burnham Dr.
City State
Zip
Gig Harbor WA
98332
Contractor
Company Name
EMERALD FIRE LLC
Number Street
11021 CRAMER
RD KPN
City
State Zip
GIG HARBOR
WA 98329
State License Number
License Expiration Date UBI #
EMERAFL980MR
7/19/2024 602211955
Project Location
i
MyBuitdingPermit.com
Company Name
Emerald Fire LLC
ar E-mail Address
michelleh(�'D_emeraldfirellc.com
Phone Number Extension
(253) 857-2056
Apartment or Suite Number
Phone Number Extension
(253) 857-2056
E-mail Address
michelleh(cDemeraldfirel Ic.com
Number Street Floor Number Suite or Room Number
23511 74TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27043200200100
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
Brian F & Nancy Duffy
Number Street Apartment or Suite Number
23511 74TH AVE W
City State Zip
EDMONDS WA 98026-8500
Certification Statement - The applicant states:
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.
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: 7/7/2023 Submitted By: Michelle Hillstrom
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CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1342974 - Duffy Residence
Project Contact
Company Name: Emerald Fire LLC
Name: Michelle Hillstrom
Address: 11505 Burnham Dr.
Gig Harbor WA 98332
Email: michelleh@emeraldfirellc.com
Phone #: (253) 857-2056
Project Type Activity Type Scope of Work
Single Family Residential New Fire Sprinkler Systems
Project Name: Duffy Residence
Description of Work: Emerald Fire to design & install new wet system based on NFPA 13.
Project Details
Fire System Type
NFPA 13D
Contact Information
Owner Email Address
michelleh@emeraldfirellc.com
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