BLD2022-1206+Application+9.12.2022_12.08.30_PM+3084706CITY OF EDMONDS MyBtaildingPermit.com
Mechanical Application
#1141125 - Edmonds Ductless Project
Applicant
First Name
Last Name
Company Name
Steve
Polkinqhorn
Polk Mechanical LLC
Number Street
Apartment or Suite Number E-mail Address
5016 83rd Ave NE
stevepolk67(�D_gmail.com
City State
Zip
Phone Number Extension
Marysville WA
98270
(425) 268-1471
Contractor
Company Name
Polk Mechanical LLC
Number Street
Apartment or Suite Number
5016 83rd Ave NE
City
State Zip
Phone Number Extension
Marysville
WA 98270
(425)268-1471
State License Number
License Expiration Date
UBI # F-mail Address
POLKMML834J5
4/25/2023
604110843 stevepolk67(D_gmail.com
Project Location
Number Street
Floor Number Suite or Room Number
422 MAIN ST
1 102,420,422
City
Zip Code
County Parcel Number
EDMONDS
98020
00434401500601
Associated Building Permit Number
Tenant Name
Treasures and Teas, Terri's Toy Box, Little Bi
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Brian J Wilson
Number Street Apartment or Suite Number
PO BOX 1298
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: 9/12/2022 Submitted By: Steve Polkinghorn
Page 1 of 2
CITY OF EDMONDS M BuildingPerrnit.com
Mechanical Application #1141125 - Edmonds Ductless Project
Project Contact
Company Name: Polk Mechanical LLC
Name: Steve Polkinghorn Email: stevepolk67@gmail.com
Address: 5016 83rd Ave NE Phone #: (425) 268-1471
Marysville WA 98270
Project Type Activity Type Scope of Work
Nonresidential Alteration Mechanical
Project Name: Edmonds Ductless Project
Description of Work: Install a two head 36k BTU ductless heat pump system, Mount the condenser on
the roof.
Project Details
Scope of Work
Installation of equipment
HVAC Systems
HVAC - Roof Mounted Under 400 Ibs 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: 1 st floor, inside and on the roof
Master Bath, Garage)
Page 2 of 2