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BLD2023-0095_Application_1.24.2023_2.35.47_PM_3331237CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1255969 - Rusty Pelican Applicant First Name Last Name Company Name Jason NESS Elite Plumbing and Mechanical LLC Number Street Apartment or Suite Number E-mail Address 1900 W Nickerson St Suite 116-33 jason@eliteplumbingandmechanical.com City State Zip Phone Number Extension Seattle WA 98199 (206) 510-2339 Contractor Company Name ELITE PLUMBING AND MECH LLC Number Street Apartment or Suite Number 1900 W Nickerson St Suite 116-33 City State Zip Phone Number Extension Seattle WA 98199 (206) 510-2339 State License Number License Expiration Date UBI # E-mail Address ELITEPM796Q2 11/22/2023 Rni iRf1D19 jason@eliteplumbingandmechanical.com Project Location Number Street Floor Number Suite or Room Number 107 5TH AVE N 1 107 City Zip Code County Parcel Number EDMONDS 98020 00434400100101 Associated Building Permit Number Tenant Name Rusty Pelican Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name THIRD AVENUE SOUTH PROPERTIES LLC Number Street Apartment or Suite Number 8451 SE 68TH ST 200 City State Zip MERCER ISLAND WA 98040 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: 1/24/2023 Submitted By: Jason NESS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1255969 - Rusty Pelican Project Contact Company Elite Plumbing and Name: Mechanical LLC Name: Jason NESS Email: jason@eliteplumbingandmechanical.com Address: 1900 W Nickerson St Phone #: (206) 510-2339 Suite 116-33 Seattle WA 98199 Project Type Nonresidential Activity Type Alteration Scope of Work Plumbing Project Name: Rusty Pelican Description of Work: Install 2 new gas tankless water heaters in place of existing electric water heaters Project Details Type of Use Work includes commercial kitchen, food svc, med gas, lab, medical use, or dental use. Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered 2 Work Location Work Description/Location (example: 1st floor, Commercial Kitchen Master Bath, Garage) Page 2 of 2