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FIR2024-0103+Application+10.21.2024_6.54.30_PM+4572729CITY OF EDMONDS Fire Application #1565017 - SPENCE FIRE Applicant First Name Last Name andy zuanich i MyBuitdingPermit.com Company Name Lakewood Plumbinq&Mechanical Inc Number Street Apartment or Suite Number E-mail Address 2815 181st PI NW City State Zip Stanwood WA 98292 Contractor Company Name LAKEWOOD PLUMBING/MECHNCAL INC Number Street 2815 181st PI NW City State Zip Stanwood WA 98292 State License Number License Expiration Date UBI # LAKEWP1793NR 8/17/2025 601941626 Project Location Number Street 17606 72ND AVE W lakewoodplginc(aD_hotmail.com Phone Number Extension (360) 652-5136 Apartment or Suite Number Phone Number Extension (360) 652-5136 E-mail Address lakewoodplginc(cDhotmail.com City Zip Code County Parcel Number EDMONDS 98026 00513600000102 Associated Building Permit Number Tenant Name 2023-1599 Additional Information (i.e. equipment location or special instructions). Work Location Floor Number Suite or Room Number Property Owner First Name Last Name or Company Name SIGNATURE HOMES BY VILLAGE LIFE LLC Number Street Apartment or Suite Number 19020 33RD AVE W 450 City State Zip LYNNWOOD WA 98036 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: 10/21/2024 Submitted By: andy zuanich Page 1 of 2 i CITY OF EDMONDS MyBuildinBPermit.com Fire Application #1565017 - SPENCE FIRE Project Contact Company Name: Lakewood Plumbing&Mechanical Inc Name: andy zuanich Email: lakewoodplginc@hotmail.com Address: 2815 181st PI NW Phone #: (360) 652-5136 Stanwood WA 98292 Project Type Single Family Residential Activity Type Scope of Work New Fire Sprinkler Systems Project Name: SPENCE FIRE Description of Work: 13 D FIRE SUPPRESSION Project Details Fire System Type NFPA 13D Contact Information Owner Email Address LAKEWOODPLGINC@HOTMAIL.COM Page 2 of 2