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FIR2024-0057+Application+7.11.2024_7.30.52_AM+4369806CITY OF EDMONDS MyBuitdingPermit.com IF Fire Application #1515854 - MAPLEWOOD ESTATES LOT A Applicant First Name Last Name Company Name Jacob Andersen Northwest Plumbing Contractors, Inc Number Street Apartment or Suite Number E-mail Address 3810 166th PI NE Unit #123 info(@.nwpci.com City State Zip Phone Number Extension Arlington WA 98223 (360) 653-7224 Contractor Company Name NORTHWEST PLUMBING CONTRS INC Number Street Apartment or Suite Number 3810 166TH PL NE 123 City State Zip Phone Number Extension ARLINGTON WA 98223 (360) 653-7224 State License Number License Expiration Date UBI # E-mail Address NORTHPC797PL 10/14/2025 601614169 info(a-)_nwpci.com Project Location Number Street Floor Number Suite or Room Number 8823 194TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27041800313800 Associated Building Permit Number Tenant Name BLD2023-1530 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name LANDSVERK QUALITY HOMES INC Number Street Apartment or Suite Number 24113 56TH AVE W City State Zip MOUNTLAKE WA 98043 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: 7/11/2024 Submitted By: Jacob Andersen Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1515854 - MAPLEWOOD ESTATES LOT A Project Contact Company Name: Northwest Plumbing Contractors, Inc Name: Jacob Andersen Email: info@nwpci.com Address: 3810 166th PI NE Unit #123 Phone #: (360) 653-7224 Arlington WA 98223 Project Type Single Family Residential Activity Type Scope of Work New Fire Sprinkler Systems Project Name: MAPLEWOOD ESTATES LOT A Description of Multipurpose fire sprinkler system installed in combination with the cold side of the Work: domestic potable water system. Designed to the 2016 edition of the NFPA 13D standard. Project Details Fire System Type NFPA13D Contact Information Owner Email Address jake@nwpci.com Page 2 of 2