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BLD2022-1360_Application_10.5.2022_3.02.32_PM_3148212CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1211883 - 22-8016 Duffy Applicant First Name Last Name Company Name Christina Fritz Evergreen State Sheet Metal Number Street Apartment or Suite Number E-mail Address 8431 Maltby Rd christina@essmwa.com City State Zip Phone Number Extension Snohomish WA 98296 (425) 252-3114 Contractor Company Name EVERGREEN STATE SHEET MTL INC Number Street Apartment or Suite Number 8431 Maltby Rd City State Zip Phone Number Extension Snohomish WA 98296 (425) 252-3114 State License Number License Expiration Date UBI # E-mail Address EVERGSS0220T 10/10/2023 661794.157 christina@essmwa.com Project Location Number Street Floor Number Suite or Room Number 7709 173RD ST SW City Zip Code County Parcel Number EDMONDS 98026 00681600000200 Associated Building Permit Number Tenant Name 22-8016 Duffy Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name John Brian Duffy Number Street Apartment or Suite Number 7709 173RD 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: 10/5/2022 Submitted By: Christina Fritz Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1211883 - 22-8016 Duffy Project Contact Company Name: Evergreen State Sheet Metal Name: Christina Fritz Email: christina@essmwa.com Address: 8431 Maltby Rd Phone #: (425) 252-3114 Snohomish WA 98296 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Name: 22-8016 Duffy Description of Work: Replace AH/HP/EAC Project Details HVAC Systems Air Handler 10,000 CFM or less 1 Heat Pump 1 Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Page 2 of 2