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BLD2022-0839_Application_6.28.2022_6.31.54_AM_2957534CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1165270 - AC retrofit Applicant First Name Last Name Company Name Serghei Sturza PRIME SYSTEMS LLC Number Street Apartment or Suite Number E-mail Address 8634 NE 132nd PI primesystems19@gmail.com City State Zip Phone Number Extension Kirkland WA 98034 (425) 326-7846 Contractor Company Name PRIME SYSTEMS LLC Number Street Apartment or Suite Number 8634 NE 132nd PL City State Zip Phone Number Extension KIRKLAND WA 98034 (425)326-7846 State License Number License Expiration Date UBI # E-mail Address PRIMESL813LM 6/14/2023 RD44RPni4 primesystems19@gmail.com Project Location Number Street Floor Number Suite or Room Number 8110 206TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00614300003806 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 Larry Mcgaugh Number Street Apartment or Suite Number 8110 206th St 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: 6/28/2022 Submitted By: Serghei Sturza Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1165270 - AC retrofit Project Contact Company Name: PRIME SYSTEMS LLC Name: Serghei Sturza Email: primesystems19@gmail.com Address: 8634 NE 132nd PI Phone #: (425) 326-7846 Kirkland WA 98034 Project Type Single Family Residential Project Name: AC retrofit Description of Work: Install AC Project Details Activity Type Scope of Work Alteration Mechanical HVAC Systems Air Conditioner Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 garage -outside Page 2 of 2