BLD2021-1201+Application+8.30.2021_10.40.54_AM+2382733CITY OF EDMONDS M BtaildingPermit.com
Mechanical Application #1012530 - MTI PHYCIAL THERATPY TENANT IMPROVEMEI
Applicant
First Name Last Name
Company Name
John Merrill
MECHANICAL & CONTROL SERVICES
Number Street
Apartment or Suite Number E-mail Address
6426 18TH ST E
johnm(�D_groupmcs.com
City State Zip
Phone Number Extension
FIFE WA 98424
2538314446
Contractor
Company Name
MECHANICAL & CONTROL SRVCS INC
Number Street
Apartment or Suite Number
6426 18th Street East
City State Zip
Phone Number Extension
Fife WA 98424
(253) 926-9777
State License Number License Expiration Date
UBI # E-mail Address
MECHACS962BT 2/26/2022
602338440 lohnm(c-)groupmcs.com
Project Location
Number Street
Floor Number Suite or Room Number
21616 76TH AVE W
1 102
City Zip Code
County Parcel Number
EDMONDS 98026
00461000100101
Associated Building Permit Number
Tenant Name
MTI PHYSICAL THERAPY
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
HR ACQUISITION I CORPORATION
Number Street Apartment or Suite Number
3310 ND AVE STE 700
City State Zip
NASHVILLE TN 37203
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: 8/30/2021 Submitted By: John Merrill
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CITY OF EDMONDS MYBuildingPerrnit.com
Mechanical Application #1012530 - MTI PHYCIAL THERATPY TENANT IMPROVEMEI
Project Contact
Company Name: MECHANICAL & CONTROL
SERVICES
Name: John Merrill Email: johnm@groupmcs.com
Address: 6426 18TH ST E Phone #: 2538314446
FIFE WA 98424
Project Type
Nonresidential
Activity Type
Alteration
Scope of Work
Mechanical
Project Name: MTI PHYCIAL THERATPY TENANT IMPROVEMENT
Description of Work: MODIFY EXISTING DUCT SYSTEM TO ACCOMMODATE NEW FLOOR
LAYOUT.
Project Details
Scope of Work
Duct Work Only
Work Location
Work Description/Location (example: 1st floor, RELOACTE EXISTING DIFFUSERS AND GRILLES
Master Bath, Garage) TO ACCOMMOADTE NEW FLOOR LAYOUT.
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