BLD2022-0249_Application_2.25.2022_1.43.27_PM_2703619CITY OF EDMONDS MyBuildingPermitxom
Mechanical Application #1098788 - Replace existing air handler and heat pump
Applicant
First Name Last Name Company Name
Cliff Anderson Evergreen State Sheet Metal
Number Street Apartment or Suite Number E-mail Address
2120 Pacific Ave Cliff@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 10/10/2023 5D1794:357 Cliff@essmwa.com
Project Location
Number Street Floor Number Suite or Room Number
24306 104TH PL W
City Zip Code County Parcel Number
EDMONDS 98020 00564900402100
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
Shane C & Fong Emily C Woerner
Number Street Apartment or Suite Number
24306 104TH PL W
City State Zip
EDMONDS WA 98020
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: 2/25/2022 Submitted By: Cliff Anderson
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1098788 - Replace existing air handler and heat pump
Project Contact
Company Name: Evergreen State Sheet Metal
Name: Cliff Anderson Email: Cliff@essmwa.com
Address: 2120 Pacific Ave Phone #: 4252523114
Everett WA 98201
Project Type Activity Type
Single Family Residential Repair or Replacement
Project Name: Replace existing air handler and heat pump
Description of Work: Replace existing air handler and heat pump NO HEAT
Project Details
HVAC Systems
Air Handler 10,000 CFM or less 1
Heat Pump 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor, Inter and exterior
Master Bath, Garage)
Scope of Work
Mechanical
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