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BLD2022-1584_Application_11.16.2022_1.26.57_PM_3223700CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1230857 - Gasworks Investment Bath Remodel Mech Applicant First Name Last Name Company Name Jacob Strobl Strobl Design Number Street Apartment or Suite Number E-mail Address 1122 N J St jacob@strobldesign.com City State Zip Phone Number Extension Tacoma WA 98403 (206) 661-3622 Contractor Company Name JOE MYERS CONSTRUCTION INC Number Street Apartment or Suite Number 4418 128th PL SE City State Zip Phone Number Extension Everett WA 98208 425-328-7849 State License Number License Expiration Date UBI # E-mail Address JOEMYMC951 PP 10/20/2023 FD9 ,1 F7:3q joemyersconstruction@comcast.net Project Location Number Street Floor Number Suite or Room Number 23726 100TH AVE W 1 None City Zip Code County Parcel Number EDMONDS 98020 27033600400500 Associated Building Permit Number Tenant Name BLD2022-1402 23726 GASWORKS INVESTMENTS LLC Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name GASWORKS INVESTMENTS LLC Number Street Apartment or Suite Number 23726 100TH AVE W 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: 11/16/2022 Submitted By: Jacob Strobl Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1230857 - Gasworks Investment Bath Remodel Mech Project Contact Company Name: Strobl Design Name: Jacob Strobl Email: jacob@strobldesign.com Address: 1122 N J St Phone #: (206) 661-3622 Tacoma WA 98403 Project Type Nonresidential Activity Type Alteration Project Name: Gasworks Investment Bath Remodel Mech Description of Work: Install new 80 cfm bath fan Project Details Scope of Work Mech Equipment For Building Permit 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) Scope of Work Mechanical Install new bath exhaust fan Page 2 of 2