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BLD2021-1337_Application_9.29.2021_12.54.32_PM_2435398CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1027272 - Hall Steam Boiler Install Applicant First Name Last Name Company Name NW Mechanical NW Mechanical Number Street Apartment or Suite Number E-mail Address 3204 NE 145th Street rachel@nwmechanical.com City State Zip Phone Number Extension Shoreline WA 98155 (206)486-3559 Contractor Company Name Northwest Mechanical Number Street Apartment or Suite Number 3204 NE 145th St. City State Zip Phone Number Extension SHORELINE WA 98155 2062674328 State License Number License Expiration Date UBI # E-mail Address NORTHM*799CA 2/9/2023 RuR899D.,i rachel@nwmechanical.com Project Location Number Street Floor Number Suite or Room Number 18319 OLYMPIC VIEW DR City Zip Code County Parcel Number EDMONDS 98020 00565600100700 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 Teena L Hall Number Street Apartment or Suite Number 4232 156TH ST SW 5-13 City State Zip LYN N WOOD WA 98087-6139 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: 9/29/2021 Submitted By: NW Mechanical Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1027272 - Hall Steam Boiler Install Project Contact Company Name: NW Mechanical Name: Daniel Barron Address: 3204 NE 145th ST Shoreline WA 98155 Project Type Single Family Residential Email: Daniel@nwmechanical.com Phone #: 2064863560 Activity Type Repair or Replacement Scope of Work Mechanical Project Name: Hall Steam Boiler Install Description of Work: Install new Crown Bermuda bsi-069 cast iron natural gas steam boiler to replace old failed steam boiler. Project Details Boilers and Water Heaters Boiler or Compressor 100,000 BTU or less 1 Work Location Work Description/Location (example: 1st floor, mechanical room Master Bath, Garage) Page 2 of 2