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BLD2021-1712+Application+12.17.2021_4.37.46_PM+2580857CITY OF EDMONDS nn BuildingPermit.com Mechanical Application #1066550 - Edmonds Concierge Laundry Service Applicant First Name Last Name Company Name Jan M Andrews Zuiderweq Construction, L.L.C. Number Street Apartment or Suite Number E-mail Address 20606 20606 - 101st Avenue N.E. zuiderweqconstructionllc()_hotmail.com City State Zip Phone Number Extension Arlinqton WA 98223 (360)435-5929 Contractor Company Name Zuiderweq Construction Ilc Number Street Apartment or Suite Number 20606 101 st Avenue Northeast City State Zip Phone Number Extension Arlinqton WA 98223 360-435-5929 425-754-8181 State License Number License Expiration Date UBI # E-mail Address ZUIDECL961 B1 2/25/2022 602355896 zuiderwegconstructionllc(cb_hotmail.com Project Location Number Street Floor Number Suite or Room Number 540 5TH AVE S 1 none City Zip Code County Parcel Number EDMONDS 98020 27032600102500 Associated Building Permit Number Tenant Name BLD2021-1704 Edmonds Concierqe Laundry Services Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS CENTER LP Number Street Apartment or Suite Number 403 HOWELL WAY 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: 12/17/2021 Submitted By: Jan M Andrews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermft.com Mechanical Application #1066550 - Edmonds Concierge Laundry Service Project Contact Company Zuiderweg Construction, Name: L.L.C. Name: Glen Andrews Email: zuiderwegconstructionllc@hotmail.com Address: 20606 101 st Avenue N.E. Phone #: 425-754-8181 Arlington WA 98223 Project Type Nonresidential Activity Type Repair or Replacement Project Name: Edmonds Concierge Laundry Service Description of Work: Correcting 5 dryer vents to meet code Project Details Scope of Work Mechanical Scope of Work Like for like equipment in the same location Work Location Work Description/Location (example: 1 st floor, single floor laundromat - correcting installation of 5 Master Bath, Garage) dryer flues to meet code Page 2 of 2