BLD2022-0308_Application_3.10.2022_1.08.02_PM_2730281CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1105704 - Add AC to existing gas furnace
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 5D1794.157 Cliff@essmwa.com
Project Location
Number Street Floor Number Suite or Room Number
20312 81 ST AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00431200001301
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
Eileen M Duncan
Number Street Apartment or Suite Number
20312 81 ST AVE 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: 3/10/2022 Submitted By: Cliff Anderson
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1105704 - Add AC to existing gas furnace
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 Scope of Work
Single Family Residential Alteration Mechanical
Project Name: Add AC to existing gas furnace
Description of Work: Add AC to existing gas furnace
Project Details
HVAC Systems
Air Conditioner 1
Work Location
Work Description/Location (example: 1st floor, outside
Master Bath, Garage)
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