BLD2022-0508_Application_4.22.2022_1.18.26_PM_2817408CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1128950 - Van Wingerden Residence
Applicant
First Name Last Name Company Name
Steve Polkinghorn Polk Mechanical LLC
Number Street Apartment or Suite Number E-mail Address
5016 83rd Ave NE stevepolk67@gmail.com
City State Zip Phone Number Extension
Marysville WA 98270 (425)268-1471
Contractor
Company Name
Polk Mechanical LLC
Number Street Apartment or Suite Number
5016 83rd Ave NE
City State Zip Phone Number Extension
Marysville WA 98270 (425)268-1471
State License Number License Expiration Date UBI # E-mail Address
POLKMML834J5 4/25/2023 F;D41 1 nm:i stevepolk67@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
18132 84TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00434600000107
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
Gerrit & Tomoko Van Wingerden
Number Street Apartment or Suite Number
18132 84TH 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: 4/22/2022 Submitted By: Steve Polkinghorn
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1128950 - Van Wingerden Residence
Project Contact
Company Name: Polk Mechanical LLC
Name: Steve Polkinghorn Email: stevepolk67@gmail.com
Address: 5016 83rd Ave NE Phone #: (425)268-1471
Marysville WA 98270
Project Type
Single Family Residential
Activity Type Scope of Work
Alteration Mechanical
Project Name: Van Wingerden Residence
Description of Work: Replace the existing furnace and add AC
Project Details
HVAC Systems
Air Conditioner
Furnace
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1
crawl space and exterior
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