BLD2021-1209_Application_8.31.2021_12.55.09_PM_2385808CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1013340 - 21-8086 Beeks
Applicant
First Name Last Name Company Name
Taylor Blake Evergreen State Sheet Metal
Number Street Apartment or Suite Number E-mail Address
2120 Pacific Ave taylor@essmwa.com
City State Zip Phone Number Extension
Everett WA 98201 4252523114
Contractor
Company Name
Evergreen State Sheet Metal
Number Street Apartment or Suite Number
2120 Pacific Ave
City State Zip Phone Number Extension
Everett WA 98201 (425) 252-3114
State License Number License Expiration Date UBI # E-mail Address
EVERGSS0220T 10/10/2021 BD1794.157 taylor@essmwa.com
Project Location
Number Street Floor Number Suite or Room Number
19328 84TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27041800306600
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
David D Drake
Number Street Apartment or Suite Number
19328 84TH AVE W
City State Zip
EDMONDS WA 98026-6101
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: 8/31/2021 Submitted By: Taylor Blake
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1013340 - 21-8086 Beeks
Project Contact
Company Name: Evergreen State Sheet Metal
Name: Taylor Blake Email: taylor@essmwa.com
Address: 2120 Pacific Ave Phone #: 4252523114
Everett WA 98201
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Name: 21-8086 Beeks
Description of Work: Replacing gas furnace with air handler and heat pump
Project Details
HVAC Systems
Air Handler 10,000 CFM or less 1
Heat Pump 1
Work Location
Work Description/Location (example: 1st floor, Garage
Master Bath, Garage)
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