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BLD2023-0395+Application+3.31.2023_11.16.17_AM+3455604CITY OF EDMONDS Mechanical Application #1291977 - Kiselman Applicant First Name Last Name Washington Generators Number Street Apartment or Suite Nu 8901 S 228th St Bldq F City State Zip Kent WA 98031 Contractor Company Name WASHINGTON GENERATORS LLC Number Street 8901 S 228th St MyBuildingPermit.com Company Name Washington Generator LLC or E-mail Address ana(@_washgen.com Phone Number Extension (253) 200-1119 Apartment or Suite Number City State Zip Phone Number Extension Kent WA 98031 (253) 200-1119 State License Number License Expiration Date UBI # E-mail Address WASHIGL795ON 9/17/2023 604785455 ana(a-)_washgen.com Project Location Number Street Floor Number Suite or Room Number 1123 EMERALD HILLS DR City Zip Code County Parcel Number EDMONDS 98020 00423000002700 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 Mikhail & Yelena Kiselman Number Street Apartment or Suite Number 1123 EMERALD HILLS DR City State Zip EDMONDS WA 98020-2945 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: 3/31/2023 Submitted By: Washington Generators Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Mechanical Application #1291977 - Kiselman Project Contact Company Name: Washington Generator LLC Name: Washington Generators Email: ana@washgen.com Address: 8901 S 228th St Bldg F Phone #: (253) 200-1119 Kent WA 98031 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Kiselman Description of Work: Installation of a standby Generator 24 KW Project Details Appliances and Equipment Gas Piping Outlets - Mech 1 Generator 1 Work Location Work Description/Location (example: 1st floor, 650 Master Bath, Garage) Page 2 of 2