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FIR2023-0003+Application+1.13.2023_1.16.57_PM+3314181CITY OF EDMONDS MyBuitdingPermit.com Fire Application #1253933 - Angle Residence Applicant First Name Last Name Company Name Naleeb Habib Columbia Fire, Inc. Number Street Apartment or Suite Number E-mail Address 111 S. Findlay St najeeb(cD_columbiafire.net City State Zip Phone Number Extension Seattle WA 98108 (206) 232-8569 Contractor Company Name COLUMBIA FIRE LLC Number Street Apartment or Suite Number 111 S. Findlay St City State Zip Phone Number Extension Seattle WA 98108 (206) 232-8569 State License Number License Expiration Date UBI # E-mail Address COLUMFL795NJ 8/11/2023 602517570 ligaoli(c_columbiafire.net Project Location Number Street Floor Number Suite or Room Number 15724 72ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00513100002601 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 Nathan X & Callie E Angle Number Street Apartment or Suite Number 15724 72ND AVE W 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: 1/13/2023 Submitted By: Najeeb Habib Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1253933 - Angle Residence Project Contact Company Name: Columbia Fire, Inc Name: Najeeb Habib Email: najeeb@columbiafire.net Address: 111 S. Findlay St Phone #: (206) 232-8569 Seattle WA 98108 Project Type Activity Type Scope of Work Single Family Residential New Fire Sprinkler Systems Project Name: Angle Residence Description of Work: Scope of work is to install a new fire sprinkler system into a new residential house to comply with NFPA #13D-2016. Total heads: 23 Project Details Fire System Type NFPA 13D Contact Information Owner Email Address nxangle@ gmail.com Page 2 of 2