BLD2021-1693+Application+12.14.2021_4.43.54_PM+2573000CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1064598 - Seattle Skin and Laser
Applicant
First Name Last Name Company Name
Lisa Cassaday Vital Mechanical Service
Number Street Apartment or Suite Number E-mail Address
1420 Maple Ave SW Iisa.cassaday(cD_vitaImechanical. corn
City State Zip Phone Number Extension
Renton WA 98057 2066294828
Contractor
Company Name
VITAL MECHANICAL INC
Number Street Apartment or Suite Number
1420 MAPLE AVE SW
City State Zip Phone Number Extension
RENTON WA 98057 (206)649-4828 (206)795-7855
State License Number License Expiration Date UBI # E-mail Address
VITALM1792CP 2/26/2023 604659790 lisa.cassaday(a)_vitalmechanical.com
Project Location
Number Street Floor Number Suite or Room Number
21727 76TH AVE W 2nd Suite F
City
EDMONDS
Associated Building Permit Number
Zip Code County Parcel Number
98026 00580700002701
Tenant Name
Seattle Skin and Laser
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Number Street
PO BOX 92129
Last Name or Company Name
HR ACQUISITION I CORPORATION
Apartment or Suite Number
City State Zip
SOUTH LAKE TX 76092
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: 12/14/2021 Submitted By: Lisa Cassaday
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CITY OF EDMONDS Mysu;laingPerrnit.com
Mechanical Application #1064598 - Seattle Skin and Laser
Project Contact
Company Name: Vital Mechanical
Service
Name: Lisa Cassaday Email: lisa.cassaday@vitalmechanical.com
Address: 1420 Maple Ave SW Phone #: 2066294828
Renton WA 98057
Project Type Activity Type Scope of Work
Nonresidential Alteration Mechanical
Project Name: Seattle Skin and Laser
Description of Work: Seattle Skin and Laser - Install (1) new supply grille, relocate (2) existing supply grilles
and (1) Return Grille and (1) thermostat.
Project Details
Scope of Work
Mech Equipment Per Plans
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor, 2nd Floor Suite F
Master Bath, Garage)
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