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FIR2024-0117+Application+12.3.2024_3.42.03_PM+4650496CITY OF EDMONDS Fire Application #1585702 - LOT 4 Applicant First Name Last Name JOHN SHAKESPEARE Number Street 111 8TH AVE N City State Zip Algona WA 98001 Contractor Company Name ECLIPSE FIRE SPRINKLERS LLC Number Street 111 8th Ave N City State Zip ALGONA WA 98001 State License Number License Expiration Date ECLIPFS783DP 3/17/2026 Project Location Number Street 7907 240TH ST SW City Zip Code EDMONDS 98026 Associated Building Permit Number BLD2021-0810 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name i MyBuitdingPermit.com Company Name Eclipse Fire Sprinklers LLC Apartment or Suite Number E-mail Address meet.eclipsefire(.@_gmail.com Phone Number Extension (206) 747-3105 Apartment or Suite Number Phone Number Extension (206) 747-3105 UBI # E-mail Address 604877835 meet.eclipsefire(aD_gmail.com County Parcel Number 00452000400804 Tenant Name Last Name or Company Name GOLDEN SEA VENTRUES INC Floor Number Suite or Room Number Number Street Apartment or Suite Number 12114 MARINE VIEW DR City State Zip EDMONDS WA 98020 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: 12/3/2024 Submitted By: JOHN SHAKESPEARE Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1585702 - LOT 4 Project Contact Company Name: Eclipse Fire Sprinklers LLC Name: JOHN SHAKESPEARE Email: meet.eclipsefire@gmail.com Address: 111 8TH AVE N Phone #: (206) 747-3105 Algona WA 98001 Project Type Activity Type Scope of Work Single Family Residential New Fire Sprinkler Systems Project Name: LOT 4 Description of Work: FIRE SPRINKLER SYSTME NFPA 13D FLOW THROUGH Project Details Fire System Type NFPA 13D Contact Information Owner Email Address EVERGREENCONTRACTING4@msn.com Page 2 of 2