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FIR2024-0067+Application+8.9.2024_6.29.34_PM+4432988CITY OF EDMONDS MyBuitdingPermit.com Fire Application #1530859 - 10429 240th pi sw Applicant First Name Last Name Company Name BRENT BESANCON NW Custom Plumbinq Number Street Apartment or Suite Number E-mail Address 17146 Britt Rd brent.nwcp(.@_outlook.com City State Zip Phone Number Extension Mount Vernon WA 98273-6598 (206) 660-7442 Contractor Company Name NW Custom Plumbinq LLC Number Street Apartment or Suite Number 3405 172nd st ne 5-158 City State Zip Phone Number Extension Arlinqton WA 98223 (206) 660-7442 State License Number License Expiration Date UBI # E-mail Address NWCUSCP791 RM 1/24/2026 603373451 brent.nwcp(D_outlook.com Project Location Number Street Floor Number Suite or Room Number 10429 240TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00564900100500 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 SELECT HOMES INC Number Street Apartment or Suite Number 8304 212TH ST SOUTHWEST City State Zip EDMONDS WA 98026 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: 8/9/2024 Submitted By: BRENT BESANCON Page 1 of 2 i CITY OF EDMONDS MyBuildinBPermit.com Fire Application #1530859 - 10429 240th pi sw Project Contact Company Name: NW Custom Plumbing Name: BRENT BESANCON Email: brent.nwcp@outlook.com Address: 17146 Britt Rd Phone #: (206) 660-7442 Mount Vernon WA 98273-6598 Project Type Single Family Residential Activity Type Scope of Work New Fire Sprinkler Systems Project Name: 10429 240th pl sw Description of Work: Installation of a 13D fire suppression system using Senju heads and PEX. Project Details Fire System Type NFPA 13D Contact Information Owner Email Address Jake.nwcp@outlook.com Page 2 of 2