BLD2021-1645_Application_12.6.2021_11.27.21_AM_2554962CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1059732 - Waite 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
111 ELM ST
City Zip Code County Parcel Number
EDMONDS 98020 00582000401001
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
Stephen C & Yamane Joyce K Ttee Waite
Number Street Apartment or Suite Number
111 ELM ST
City State Zip
EDMONDS WA 98020-4105
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: 12/6/2021 Submitted By: NW Mechanical
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1059732 - Waite Boiler Install
Project Contact
Company Name: NW Mechanical
Name: NW Mechanical Email: daniel@nwmechanical.com
Address: 3204 NE 145th Street Phone #: (206)486-3560
Shoreline WA 98155
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Name: Waite Boiler Install
Description of Work: Demo old boiler and install new Bosch Greenstar Floor Mounted KBR42-3
151,000 BTU boiler
Project Details
Boilers and Water Heaters
Boiler or Compressor 100,001 to 499,000 BTU 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor, Replace old boiler in Mechanical room
Master Bath, Garage)
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