BLD2021-1615+Application+11.30.2021_11.22.20_AM+2543565CITY OF EDMONDS MyBuilaingPermit.com
Mechanical Application #1056601 - 421070 The Everett Clinic
Applicant
First Name Last Name Company Name
Misty Pomada Comfort Systems Northwest
Number Street Apartment or Suite Number E-mail Address
17683 128th PI NE mpomada(cr-csusanw.com
City State Zip Phone Number Extension
Woodinville WA 98072 4258839224 1215
Contractor
Company Name
COMFORT SYSTEMS USA (NW) INC
Number Street Apartment or Suite Number
17683 128th PI NE
City State Zip Phone Number Extension
Woodinville WA 98072 4258839224
State License Number License Expiration Date UBI # E-mail Address
COMFOSU842LB 6/20/2022 600517946 mpomada(cD-csusanw.com
Project Location
Number Street Floor Number
21401 72ND AVE W Roof
City Zip Code County Parcel Number
EDMONDS 98026 00580700002208
Associated Building Permit Number Tenant Name
The Everett Clinic
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
HSRE EDMONDS MOB OWNER LLC
Suite or Room Number
None
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: 11/30/2021 Submitted By: Misty Pomada
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CITY OF EDMONDS M BuildingPerrnit.com
Mechanical Application #1056601 - 421070 The Everett Clinic
Project Contact
Company Name: Comfort Systems Northwest
Name: Misty Pomada Email: mpomada@csusanw.com
Address: 17683 128th PI NE Phone #: 4258839224 1215
Woodinville WA 98072
Project Type
Nonresidential
Activity Type
Repair or Replacement
Scope of Work
Mechanical
Project Name: 421070 The Everett Clinic
Description of Work: Emergency replacement an existing chiller with new. Like for like replacement.
Project Details
Scope of Work
Mech Equipment Per Plans
Like for like equipment in the same location
HVAC Systems
HVAC - Roof Mounted 400 Ibs or over 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Emergency replacement of a owner supplied chiller on
Work Description/Location (example: 1 st floor, the roof. Original equipment weight is 2403. The new
Master Bath, Garage) equipment weighs 1860. We will be reusing existing
piping, controls & electrical connections.
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