BLD2022-0393+Application+3.28.2022_4.29.05_PM+2766159CITY OF EDMONDS
MyBuildingPermit.com
Mechanical Application #1115209 - Transform Weight Loss
Applicant
First Name Last Name
Company Name
Kent Gregory
tqb
Number Street Apartment or Suite Number
E-mail Address
21911 76th Ave W 210
kgregory(a_tgbarchitects.com
City State Zip
Phone Number Extension
Edmonds WA 98020
4255994469
Contractor
Company Name
FERRIS/TURNEY GEN CONTRS INC
Number Street
Apartment or Suite Number
118 North 35th Street
City State Zip
Phone Number Extension
Seattle WA 98103
2067935500
State License Number License Expiration Date UBI #
E-mail Address
FERRIGC037N1 5/28/2023 601809994
rodf(a_ferris-turney.com
Project Location
Number Street Floor Number Suite or Room Number
21911 76TH AVE W 1 103
City Zip Code County Parcel Number
EDMONDS 98026 00545500200100
Associated Building Permit Number Tenant Name
Transform Weiqht Loss
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
MASTGECH LLC
Number Street Apartment or Suite Number
21911 76TH AVE W 100
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: 3/28/2022 Submitted By: Kent Gregory
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CITY OF EDMONDS Mysu;laingPerrnit.com
Mechanical Application #1115209 - Transform Weight Loss
Project Contact
Company Name: tgb
Name: Kent Gregory Email: kgregory@tgbarchitects.com
Address: 21911 76th Ave W 210 Phone #: 4255994469
Edmonds WA 98020
Project Type
Nonresidential
Activity Type
Alteration
Scope of Work
Mechanical
Project Name: Transform Weight Loss
Description of Work: reconfigure duct work and diffusers in operating room in Ambulatory Surgery
Suite
Project Details
Scope of Work
Duct Work Only
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,
Master Bath, Garage)
1 st floor. Reconfiguration of duct work and diffusers in
Operating Room in Ambulatory Surgery Suite
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