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FIR2022-0003+Application+1.12.2022_1.05.23_PM+2617365CITY OF EDMONDS MyBuildingPermit.com Fire Application #1075705 - Paradise Lane Building A Applicant First Name Last Name Company Name Mike Balsley Advanced Fire Protection Number Street Apartment or Suite Number E-mail Address P.O. Box 1543 City State Zip Woodinville WA 98072 Contractor Company Name ADVANCED FIRE PROTECTION INC Number Street P.O. Box 1543 city Woodinville State License Number ADVANFP199B6 Project Location Number Street 546 PARADISE LN city EDMONDS Associated Building Permit Number State Zip WA 98072 License Expiration Date 5/1 /2023 mike('gD_advfire.net Phone Number Extension (425) 483-5657 113 Apartment or Suite Number Phone Number Extension 206-730-9632 UBI # E-mail Address 600386766 mike(cDadvfire.net Floor Number 3 Zip Code County Parcel Number 98020 27032500302600 Tenant Name Paradise Lane Buildinq A Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PARADISE HEIGHTS HLD LLC Suite or Room Number 4 Number Street Apartment or Suite Number 190 W DAYTON ST 103 City State Zip EDMONDS WA 98020 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: 1/12/2022 Submitted By: Mike Balsley Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1075705 - Paradise Lane Building A Project Contact Company Name: Advanced Fire Protection Name: Mike Balsley Email: mike@advfire.net Address: P.O. Box 1543 Phone #: (425) 483-5657 113 Woodinville WA 98072 Project Type Activity Type Scope of Work Nonresidential New Fire Sprinkler Systems Project Name: Paradise Lane Building A Description of Work: Install an NFPA 13R fire sprinkler system Project Details Fire System Type NFPA 13R Fire System Counts Number of Heads 92 Number of Risers 1 Valuation Fair Market Value of Work $38,000 Page 2 of 2