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BLD2022-1034+Application+8.5.2022_8.18.30_AM+3034589CITY OF EDMONDS nnysuilaingPermit.com Mechanical Application #1182886 - Table for 12 Applicant First Name Last Name Company Name David Pelletier Pelletier + Schaar Number Street Apartment or Suite Number E-mail Address 26911 98th drive dpelletier(D_pelletierschaar.com City State Zip Phone Number Extension Stanwood WA 98292 (360) 629-5375 Contractor Company Name Haider Construction Number Street Apartment or Suite Number 5607 244th St. SW City State Zip Phone Number Extension Mountlake Terrace WA 98043 425 771 3515 State License Number License Expiration Date UBI # E-mail Address HAIDEC*914DB 4/7/2023 602903374 ron(a)_haiderconstruction.com Project Location Number Street Floor Number Suite or Room Number 320 5TH AVE S 1 B City Zip Code County Parcel Number EDMONDS 98020 27032300413000 Associated Building Permit Number Tenant Name BLD2022-0482 Rian Cool Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Voltsis Ventures LLC VOLTSIS VENTURES LLC Number Street Apartment or Suite Number 320 5TH AVE 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: 8/5/2022 Submitted By: David Pelletier Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1182886 - Table for 12 Project Contact Company Name: Pelletier + Schaar Name: David Pelletier Address: 26911 98th drive Stanwood WA 98292 Project Type Nonresidential Email: dpelletier@pelletierschaar.com Phone #: (360) 629-5375 Activity Type Alteration Scope of Work Mechanical Project Name: Table for 12 Description of Work: 2 new kitchen hoods with rooftop mounted exhaust and male -up air 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) Two new kitchen hoods with rooftop exhaust and make-up air Page 2 of 2