BLD2022-0512_Application_4.26.2022_7.28.29_AM_2826607CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1131392 - Mohagen
Applicant
First Name Last Name Company Name
NW Mechanical NW Mechanical
Number Street Apartment or Suite Number E-mail Address
3204 NE 145th Street Permit@nwmechanical.com
City State Zip Phone Number Extension
Shoreline WA 98155 2064863559
Contractor
Company Name
Northwest Mechanical
Number Street Apartment or Suite Number
3204 NE 145th St.
City State Zip Phone Number Extension
SHORELINE WA 98155 2062674328
State License Number License Expiration Date UBI # E-mail Address
NORTHM*799CA 2/9/2023 RuR899D.,i Permit@nwmechanical.com
Project Location
Number Street Floor Number Suite or Room Number
8608 194TH PL SW
City Zip Code County Parcel Number
EDMONDS 98026 00506100000600
Associated Building Permit Number Tenant Name
Mohagen
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Marc G & Mary A Mohagen
Number Street Apartment or Suite Number
8608 194TH PL SW
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: 4/26/2022 Submitted By: NW Mechanical
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1131392 - Mohagen
Project Contact
Company Name:
Name:
Address:
Mary Mohagen
8608 194th PI SW
Edmonds WA 98026
Email: mmohagen@comcast.net
Phone #: 4256720708
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Name: Mohagen
Description of Work: boiler swap BUDERUS GC144/411 SLENDER MODEL 103,0000 BTU gas
Project Details
Boilers and Water Heaters
Boiler or Compressor 100,001 to 499,000 BTU
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
Boiler swap BUDERUS GC144/411 SLENDER MODEL
103,0000 BTU
Page 2 of 2