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BLD2022-0509+Application+4.22.2022_3.25.25_PM+2822533CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1130240 - Add ductless AC to kitchen area Applicant First Name Last Name Company Name Cliff Anderson Everqreen State Sheet Metal Number Street Apartment or Suite Number E-mail Address 8431 Maltbv Rd Cliff@essmwa.com City State Zip Phone Number Extension Snohomish WA 98296 4252523114 Contractor Company Name EVERGREEN STATE SHEET MTL INC Number Street Apartment or Suite Number 2120 Pacific Ave City State Zip Phone Number Extension Everett WA 98201 (425) 252-3114 State License Number License Expiration Date UBI # E-mail Address EVERGSS0220T 10/10/2023 601724357 Cliff@essmwa.com Project Location Number Street Floor Number Suite or Room Number 405 HOWELL WAY Main floor NA City Zip Code County Parcel Number EDMONDS 98020 27032600102500 Associated Building Permit Number Tenant Name Alberto Churros Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS CENTER LP Number Street Apartment or Suite Number 403 HOWELL WAY 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: 4/22/2022 Submitted By: Cliff Anderson Page 1 of 2 CITY OF EDMONDS nn BuildingPerrnit.cam Mechanical Application #1130240 - Add ductless AC to kitchen area Project Contact Company Name: Evergreen State Sheet Metal Name: Cliff Anderson Email: Cliff@essmwa.com Address: 8431 Maltby Rd Phone #: 4252523114 Snohomish WA 98296 Project Type Nonresidential Activity Type Repair or Replacement Project Name: Add ductless AC to kitchen area Description of Work: Add ductless AC to kitchen area Project Details HVAC Systems HVAC - Exterior Ground Mounted 1 Work Location Work Description/Location (example: 1st floor, Outside Master Bath, Garage) Scope of Work Mechanical Page 2 of 2