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BLD2021-1445+Application+10.20.2021_9.55.21_AM+2471696CITY OF EDMONDS nnysuilaingPermit.com Mechanical Application #1028201 - Harvey's Tavern Applicant First Name Last Name Company Name Stephanie Givens New Castle Mechanical Number Street Apartment or Suite Number E-mail Address 9823 160th St E Suite A stephanie.newcastle(�D_comcast.net City State Zip Phone Number Extension Puyallup WA 98375 2535037390 Contractor Company Name NEW CASTLE MECHANICAL LLC Number Street Apartment or Suite Number 9823 160th St E Suite A City State Zip Phone Number Extension Puyallup WA 98375 (253) 503-7390 State License Number License Expiration Date UBI # E-mail Address NEWCACM9240D 10/7/2022 602858734 ste phan i e. n ewcastl e(a-)_com cast. net Project Location Number Street Floor Number Suite or Room Number 21116 99 HWY 1 none City Zip Code County Parcel Number EDMONDS 98020 27042000302300 Associated Building Permit Number Tenant Name Harveys Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name KAFE NEO-ALDERWOOD LLC Number Street Apartment or Suite Number 21116 HIGHWAY 99 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: 10/20/2021 Submitted By: Stephanie Givens Page 1 of 2 CITY OF EDMONDS MYBuildingPerrnit.com Mechanical Application #1028201 - Harvey's Tavern Project Contact Company Name: New Castle Mechanical Name: Stephanie Givens Email: stephanie.newcastle@comcast.net Address: 9823 160th St E Suite A Phone #: 2535037390 Puyallup WA 98375 Project Type Nonresidential Activity Type New Project Name: Harvey's Tavern Description of Work: Install walk in cooler Project Details Scope of Work Installation of equipment Work Location Work Description/Location (example: 1st floor, 1st floor Master Bath, Garage) Scope of Work Mechanical Page 2 of 2