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FIR2023-0106+Application+10.30.2023_1.05.32_PM+3869119CITY OF EDMONDS MyBuildingPermit.com Fire Application #1392802 - Robatasumi Restaurant Applicant First Name Last Name Company Name David Sherepitka CASCADIA FIRE PROTECTION LLC Number Street Apartment or Suite Number E-mail Address PO Box 206 City State Zip Puyallup WA 98371 Contractor Company Name CASCADIA FIRE PROTECTION LLC Number Street PO Box 206 city PUYALLUP State License Number CASCAFP8331_2 Project Location Number Street 22511 HIGHWAY 99 City EDMONDS Associated Building Permit Number david (Dcascad iafi repro. corn Phone Number Extension (253) 202-3909 Apartment or Suite Number State Zip Phone Number Extension WA 98371 (253) 202-3909 License Expiration Date UBI # E-mail Address 6/27/2025 604126260 david(D_cascadiafirepro. corn Floor Number Suite or Room Number 1 111 Zip Code County Parcel Number 98020 27042900307400 Tenant Name Robatasumi Restaurant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name FRANKLIN-EDMONDS LLC Number Street Apartment or Suite Number 15015 MAIN ST 203 City State Zip BELLEVUE WA 98007 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: 10/30/2023 Submitted By: David Sherepitka Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1392802 - Robatasumi Restaurant Project Contact Company Name: LAC CASCADIA FIRE PROTECTION Name: David Sherepitka Email: david@cascadiafirepro.com Address: PO Box 206 Phone #: (253) 202-3909 Puyallup WA 98371 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Sprinkler Systems Project Name: Robatasumi Restaurant Description of Work: Modify the existing fire sprinkler system based on NFPA 13 and City requirements for the tenant improvements. Project Details Fire System Type NFPA 13 Fire System Counts Number of Heads Capped or plugged Number of Heads Relocated Valuation Fair Market Value of Work Contact Information Owner Email Address 17 1 $800 yuhua.g2@gmail.com Page 2 of 2