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FIR2023-0121+Application+12.14.2023_12.41.25_PM+3953148CITY OF EDMONDS MyBuildingPermit.com Fire Application #1417189 - Harris Duplex Unit A Applicant First Name Last Name Company Name lois McCain Rainier Custom Plumbinq Number Street Apartment or Suite Number E-mail Address PO Box 1651 Lois(a),rainiercustomplumbinq.com City State Zip Phone Number Extension Everett WA 98292 (425) 789-1767 Contractor Company Name RAINIER CUSTOM PLUMBING INC Number Street Apartment or Suite Number Po Box 1651 City Marysville State License Number RAINICP110PC Project Location Number Street 21022 74TH AVE W City EDMONDS Associated Building Permit Number State Zip Phone Number Extension WA 98270 (425) 789-1767 License Expiration Date UBI # E-mail Address 10/17/2025 601204093 Lois(cD_rainiercustomplumbinq.com Zip Code 98026 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner County Parcel Number 00566900400201 Tenant Name Floor Number Suite or Room Number First Name Last Name or Company Name David M Harris Number Street Apartment or Suite Number 19702 20TH AVE NW City State Zip SHORELINE WA 98177 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: 12/14/2023 Submitted By: lois McCain Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1417189 - Harris Duplex Unit A Project Contact Company Name: Rainier Custom Plumbing Name: lois McCain Email: Lois@rainiercustomplumbing.com Address: PO Box 1651 Phone #: (425) 789-1767 Everett WA 98292 Project Type Activity Type Scope of Work Single Family Residential New Fire Sprinkler Systems Project Name: Harris Duplex Unit A Description of Work: Install New 13D fire suppression systems Project Details Fire System Type NFPA 13D Contact Information Owner Email Address Install New 13D fire suppression systems Page 2 of 2