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BLD2021-1378_Application_10.7.2021_7.28.21_AM_2446836CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1030407 - 21-8090 Hildebrandt 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 MTL INC 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 661794.157 taylor@essmwa.com Project Location Number Street Floor Number Suite or Room Number 21823 82ND PL W City Zip Code County Parcel Number EDMONDS 98026 00455600000600 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 Bryan�Amy Hildebrandt Number Street Apartment or Suite Number 21823 82ND PL W 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: 10/7/2021 Submitted By: Taylor Blake Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1030407 - 21-8090 Hildebrandt 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: 21-8090 Hildebrandt Description of Work: Remove oil furnace and cap. Add air handler & heat pump. Project Details HVAC Systems Air Handler 10,000 CFM or less 1 Heat Pump 1 Work Location Work Description/Location (example: 1 st floor, Basement & side of home Master Bath, Garage) Page 2 of 2