Application_BLD2023-0074CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1255503
Applicant
First Name Last Name Company Name
Kelly Mackay LEFT COAST SERVICES LLC
Number Street Apartment or Suite Number E-mail Address
126 SW 148th St Suite C100 Box 4 uai—kwm@yahoo.com
City State Zip Phone Number Extension
Burien WA 98166 (206) 762-7500
Contractor
Company Name
LEFT COAST SERVICES LLC
Number Street Apartment or Suite Number
126 SW 148TH ST STE C100 BOX 4
City State Zip Phone Number Extension
BURIEN WA 98166 (206)762-7500
State License Number License Expiration Date UBI # E-mail Address
LEFTCCS829QB 11/3/2024 Fm49R7785 uai—kwm@yahoo.com
Project Location
Number Street Floor Number Suite or Room Number
8704 196TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00549200000400
Associated Building Permit Number Tenant Name
CRA2023-0003
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Li Xiao
Number Street Apartment or Suite Number
8704 196TH 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, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 1/18/2023 Submitted By: Kelly Mackay
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1255503
Project Type
Single Family Residential
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Work Location
Activity Type
Repair or Replacement
Scope of Work
Mechanical
Work Description/Location (example: 1 st floor, oil lines for installing 300 gallon Residential
Master Bath, Garage) Underground Heating Oil Tank.
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