BLD2023-0301+Application+3.9.2023_6.38.48_AM+3404206CITY OF EDMONDS nnyst,ilaingPermit.com
Mechanical Application #1278529 - Bradford generator
Applicant
First Name Last Name Company Name
Jay Rosander Custom Electrical Services, LLC
Number Street Apartment or Suite Number E-mail Address
3802 Auburn Way N STE 307 info(cD_customelectricalseattle.com
City State Zip Phone Number Extension
Auburn WA 98002 (425) 282-4971
Contractor
Company Name
CUSTOM ELECTRICAL SERVICES LLC
Number Street
Apartment or Suite Number
3802 Auburn Way N
307
City
State Zip
Phone Number Extension
Auburn
WA 98002
4252824971
State License Number
License Expiration Date
UBI #
E-mail Address
CUSTOES893J2
4/22/2023
602924637
info(aD_customelectricalseattle.com
Project Location
Number Street
Floor Number Suite or Room Number
1036 BELL ST
City
Zip Code
County Parcel Number
EDMONDS
98020
00434204001200
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Ann Ttee Bradford
Number Street Apartment or Suite Number
1036 BELL ST
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: 3/9/2023 Submitted By: Jay Rosander
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CITY OF EDMONDS MYBuildingPerrnit.com
Mechanical Application #1278529 - Bradford generator
Project Contact
Company Name: Custom Electrical
Services, LLC
Name: Jay Rosander Email: info@customelectricalseattle.com
Address: 38802 Auburn Way N STE Phone #: (425) 282-4971
307
Auburn WA 98002
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Name: Bradford generator
Description of Work: Adding automatic Generac generator.
Project Details
Appliances and Equipment
Generator 1
Work Location
Work Description/Location (example: 1st floor, Exterior on home
Master Bath, Garage)
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