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BLD2021-1705+Application+12.16.2021_10.05.59_AM+2574657CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1065018 - El Capitan Elev Mod HVAC Applicant First Name Last Name Company Name Evan Robbins 16D LLC Number Street Apartment or Suite Number E-mail Address PO Box 804 City State Vashon WA Contractor Company Name 16d LLC Number Street 10602 SW 110th ST City Vashon State License Number 16DLLL*895D2 Project Location Number Street 200 JAMES ST City EDMONDS Associated Building Permit Number evan(.@_16dllc.com Zip Phone Number Extension 98070 2532256025 State Zip WA 98070 License Expiration Date UBI # 3/22/2023 603092523 Apartment or Suite Number PO Box 804 Phone Number Extension (206) 218-4890 (206) 354-0876 E-mail Address shelley(cD_16dllc.com Floor Number 1 Zip Code County Parcel Number 98020 00678200010100 Tenant Name Core -Elevator Machine Room Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Suite or Room Number Elevator Machine First Name Last Name or Company Name Susan K Reed Number Street Apartment or Suite Number 200 JAMES ST 101 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: 12/16/2021 Submitted By: Evan Robbins Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Mechanical Application #1065018 - El Capitan Elev Mod HVAC Project Contact Company Name: 16D LLC Name: Evan Robbins Email: evan@16dl1c.com Address: PO Box 804 Phone #: 2532256025 Vashon WA 98070 Project Type Multifamily Residential Activity Type Alteration Scope of Work Mechanical Project Name: El Capitan Elev Mod HVAC Description of Work: For the purpose of elevator modernization, add one split unit HVAC to the elevator machine room and nearby outdoor wall. Project Details HVAC Systems Air Conditioner 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 Ground floor elevator machine room and nearby exterior wall Page 2 of 2