FIR2023-0069+Application+7.31.2023_1.09.54_PM+3698145CITY OF EDMONDS MyBuildingPermit.com
IF
Fire Application #1355705 - ANTHOLOGY OF EDMONDS
Applicant
First Name Last Name Company Name
NISHA TAYLOR PYE BARKER FIRE
Number Street Apartment or Suite Number E-mail Address
735 E FAIRHAVEN AVE 265 NISHA.TAYLOR(DPYEBARKERFS.COM
City State Zip Phone Number Extension
BURLINGTON WA 98233 (360) 755-5444
Contractor
Company Name
PYE-BARKER FIRE AND SAFETY LLC
Number Street Apartment or Suite Number
735 E Fairhaven Ave
City State Zip Phone Number Extension
Burlinqton WA 98233 (360) 755-5444 (360) 610-9682
State License Number License Expiration Date UBI # E-mail Address
PYEBAFS807DO 3/20/2024 604541987 NISHA.TAYLOR(@-PYEBARKERFS.COM
Project Location
Number Street Floor Number
21200 72ND AVE W MAIN
City Zip Code County Parcel Number
EDMONDS 98026 00580700000401
Associated Building Permit Number Tenant Name
ANTHOLOGY OF EDMONDS
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Suite or Room Number
NO
First Name Last Name or Company Name
CA SENIOR EDMONDS WAS PROPERTY OWNER LLC
Number Street Apartment or Suite Number
PO BOX 92129
City State Zip
SOUTHLAKE TX 76092
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: 7/31/2023 Submitted By: NISHA TAYLOR
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CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1355705 - ANTHOLOGY OF EDMONDS
Project Contact
Company PYE BARKER FIRE
Name:
Name: NISHA TAYLOR Email: NISHA.TAYLOR@PYEBARKERFS.COM
Address: 265 E FAIRHAVEN AVE Phone #: (360) 755-5444
BURLINGTON WA
98233
Project Type Activity Type Scope of Work
Nonresidential New Kitchen Hood and Duct
Project Name: ANTHOLOGY OF EDMONDS
Description of Work: INSTALL ANSUL UL 300 FIRE SUPPRESSION SYSTEM
Project Details
Fire System Counts
Total Number of Systems and/or Equipment 1
Additional Project Information
Description Install Ansul UL 300 fire suppression system
Contact Information
Owner Email Address NA
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