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BLD2021-1674+Application+12.10.2021_1.45.31_PM+2566058 (2)CITY OF EDMONDS nnyst,ilaingPermit.com Mechanical Application #1062209 - Viking Auto Repair Applicant First Name Last Name Company Name Taylor Blake Everqreen State Sheet Metal Number Street Apartment or Suite Number E-mail Address 2120 Pacific Ave taylor(D_essmwa.com City State Zip Phone Number Extension Everett WA 98201 4252523114 Contractor Company Name EVERGREEN STATE SHEET MTL INC Number Street Apartment or Suite Number 2120 Pacific Ave City State Zip Phone Number Extension Everett WA 98201 (425) 252-3114 State License Number License Expiration Date UBI # E-mail Address EVERGSS0220T 10/10/2023 601724357 Cliff(cD-essmwa.com Project Location Number Street Floor Number Suite or Room Number 23125 HIGHWAY 99 Shop None City Zip Code County Parcel Number EDMONDS 98026 00576700001413 Associated Building Permit Number Tenant Name Archie Butler Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Archie Butler Number Street Apartment or Suite Number 731 NORTHSTREAM LANE 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: 12/10/2021 Submitted By: Taylor Blake Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Mechanical Application #1062209 - Viking Auto Repair Project Contact Company Name: Evergreen State Sheet Metal Name: Taylor Blake Email: taylor@essmwa.com Address: 2120 Pacific Ave Phone #: 4252523114 Everett WA 98201 Project Type Activity Type Scope of Work Nonresidential Repair or Replacement Mechanical Project Name: Viking Auto Repair Description of Work: Replace existing Unit heater with like for like in Mechanics shop. Project Details Scope of Work Like for like equipment in the same location HVAC Systems HVAC - Roof Mounted Under 400 Ibs Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Replacing like for like gas unit heater in mechanics shop. Page 2 of 2