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BLD2021-1009_Application_7.21.2021_12.29.03_PM_2313462CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #994252 - Job #02621 Applicant First Name Last Name Company Name John MacDonald Olympic Mechanical, Inc. Number Street Apartment or Suite Number E-mail Address 21718 66th AVE W Suite 207 john@olympicmechanical.com City State Zip Phone Number Extension Mountlake Terrace WA 98043 (425) 774-8841 Contractor Company Name OLYMPIC MECHANICAL INC Number Street Apartment or Suite Number 21718 66th AVE W Suite 207 City State Zip Phone Number Extension Mountlake Terrace WA 98043 (425) 774-8841 State License Number License Expiration Date UBI # E-mail Address OLYMPMI17001 2/14/2022 Rnn5nngsg john@olympicmechanical.com Project Location Number Street Floor Number Suite or Room Number 8411 202ND ST SW City Zip Code County Parcel Number EDMONDS 98026 27041900214300 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 Russell & Brynn Dougherty Number Street Apartment or Suite Number 8411 202ND ST SW City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: I 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. I 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: 7/21/2021 Submitted By: John MacDonald Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #994252 - Job #02621 Project Contact Company Name: Name: John MacDonald Email: john@olympicmechanical.com Address: 21718 66th Ave W #207 Phone #: Mountlake Terrace WA 98043 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: Job #02621 Description of Work: Add air conditioner to existing gas forced air system Project Details HVAC Systems Air Conditioner Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 air conditioning coil is in mechanical room on the second floor with the outdoor unit sitting on right side of garage in the side yard next to garage Page 2 of 2