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BLD2021-0924+Application+7.1.2021_6.13.50_PM+2280702CITY OF EDMONDS MyBuilaingPermit.coin Mechanical Application #984966 - Thrive Dentistry / Dr. Lee Applicant First Name Last Name Company Name Peter Crelley United Systems Mechanical, LLC Number Street Apartment or Suite Number E-mail Address 1400 Airport Way South 202 Peter(D_US-Mechanical.com City State Zip Phone Number Extension Seattle WA 98134 206-510-8080 Contractor Company Name UNITED SYSTEMS MECHANICAL LLC Number Street Apartment or Suite Number 1400 Airport Way South 202 City State Zip Phone Number Extension Seattle WA 98134 (206) 933-6036 State License Number License Expiration Date UBI # E-mail Address UNITESM962QA 11/1/2022 602439405 tyler(cD_us-mechanical. com Project Location Number Street Floor Number Suite or Room Number 10022 EDMONDS WAY 1st Floor 102 City Zip Code County Parcel Number EDMONDS 98020 00610700200701 Associated Building Permit Number Tenant Name BLD2021-0473 Thrive Dentistry / Dr. Lee Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name VILLAGE AT WESTGATE LLC Number Street Apartment or Suite Number 4025 DELRIDGE WAY SW 530 City State Zip SEATTLE WA 98106 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: 7/1/2021 Submitted By: Peter Crelley Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Mechanical Application #984966 - Thrive Dentistry / Dr. Lee Project Contact Company Name: LLCed Systems Mechanical, Name: Peter Crelley Email: Peter@US-Mechanical.com Address: 1400 Airport Way South 202 Phone #: 206-510-8080 Seattle WA 98134 Project Type Activity Type Scope of Work Nonresidential New Mechanical Project Name: Thrive Dentistry / Dr. Lee Description of First Tenant Shell Build -out Two new split -system heat pumps, Refrigerant Piping, Work: Condensate Piping, DOAS, Med Gas Closet EF, Dryer Vent, Mech Room EF, ductwork, diffusers & grilles per plan. Project Details Scope of Work Mech Equipment Per Plans Work Location Work Description/Location (example: 1st floor, 1st Floor, Suite 102, Garage Master Bath, Garage) Page 2 of 2