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BLD2023-0636_Application_5.23.2023_2.47.16_PM_3555450CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1318121 - McGinnis 23-8008 Applicant First Name Last Name Company Name Christina Fritz Evergreen State Sheet Metal Number Street Apartment or Suite Number E-mail Address 8431 Maltby Rd christina@essmwa.com City State Zip Phone Number Extension Snohomish WA 98296 (425) 252-3114 Contractor Company Name EVERGREEN STATE SHEET MTL INC Number Street Apartment or Suite Number 8431 Maltby Rd City State Zip Phone Number Extension Snohomish WA 98296 (425) 252-3114 State License Number License Expiration Date UBI # E-mail Address EVERGSS0220T 10/10/2023 5n1794.157 christina@essmwa.com Project Location Number Street Floor Number Suite or Room Number 10432 243RD PL SW City Zip Code County Parcel Number EDMONDS 98020 00564900501400 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 Shannon & Payton Robert Jr Mcginnis Number Street Apartment or Suite Number 10432 243RD PL SW City State Zip EDMONDS WA 98020-5753 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: 5/23/2023 Submitted By: Christina Fritz Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1318121 - McGinnis 23-8008 Project Contact Company Name: Evergreen State Sheet Metal Name: Christina Fritz Email: christina@essmwa.com Address: 8431 Maltby Rd Phone #: (425) 252-3114 Snohomish WA 98296 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Name: McGinnis 23-8008 Description of Work: Replacing old oil furnace for Mitsu HH HP Project Details HVAC Systems Air Handler 10,001 CFM or more 1 Heat Pump 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Page 2 of 2