Application_1031274CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1031274
Applicant
First Name Last Name
Taylor Blake
Company Name
Evergreen State Sheet Metal
Number Street
2120 Pacific Ave
Apartment or Suite Number E-mail Address
taylor@essmwa.com
City State Zip
Everett WA 98201
Phone Number Extension
4252523114
Contractor
Company Name
EVERGREEN STATE SHEET MTL INC
Number Street
2120 Pacific Ave
Apartment or Suite Number
City State Zip
Everett WA 98201
Phone Number Extension
(425) 252-3114
State License Number License Expiration Date
EVERGSS0220T 10/10/2021
UBI # E-mail Address
BD1794.157 taylor@essmwa.com
Project Location
Number Street
21714 95TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00527900000700
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
Suzanne Scheldt
Number Street
21714 95TH AVE W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 10/7/2021 Submitted By: Taylor Blake
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1031274
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
HVAC Systems
Furnace
Work Location
Work Description/Location (example: 1st floor, Garage
Master Bath, Garage)
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