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BLD2023-0821_Application_6.30.2023_10.54.45_AM_3642445CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1341237 - 120 W Applicant First Name Last Name Company Name COREY ALEXANDER Infrasource Services Number Street Apartment or Suite Number E-mail Address 1660 Park Lane corey.alexander@pse.com City State Zip Phone Number Extension Burlington WA 98233 (425) 516-4388 Contractor Company Name Infrasource Services LLC Number Street Apartment or Suite Number 1660 Park Lane City State Zip Phone Number Extension Burlington WA 98233 (425) 466-4771 State License Number License Expiration Date UBI # E-mail Address INFRASL871C2 2/22/2025 FD:199gssR corey.alexander@pse.com Project Location Number Street Floor Number Suite or Room Number 120 W DAYTON ST 1ST ROLL UP 120 City Zip Code County Parcel Number EDMONDS 98020 27032300407500 Associated Building Permit Number Tenant Name 120 w Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name PORT OF EDMONDS Number Street Apartment or Suite Number 336 ADM I RAL WAY City State Zip EDMONDS WA 98020-7214 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: 6/30/2023 Submitted By: COREY ALEXANDER Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1341237 - 120 W Project Contact Company Name: Infrasource Services Name: COREY ALEXANDER Email: corey.alexander@pse.com Address: 1660 Park Lane Phone #: (425) 516-4388 Burlington WA 98233 Project Type Activity Type Scope of Work Nonresidential Alteration Mechanical Project Name: 120 W Description of Work: Relocation of the gas meter Project Details Scope of Work Gas Piping Only (no fixture installation) Work Location Work Description/Location (example: 1 st floor, 1ST FLOOR BY ROLL UP DOOR Master Bath, Garage) Page 2 of 2