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BLD2023-0767+Application+6.18.2023_9.59.08_PM+3615054CITY OF EDMONDS nnyst,ilaingPermit.com Mechanical Application #1334589 - Spec Suite 202 Applicant First Name Last Name Company Name Steven Knobbs GB Systems Number Street Apartment or Suite Number E-mail Address 7202 NE 175th St stevenk(�D_gbs-hvac.com City State Zip Phone Number Extension KENMORE WA 98028 (206) 229-4977 Contractor Company Name G B SYSTEMS INC Number Street Apartment or Suite Number 7202 NE 175th St City State Zip Phone Number Extension Kenmore WA 98028 (425) 482-0584 State License Number License Expiration Date UBI # E-mail Address GBSYSI*088BS 1/11/2025 601353544 stevenk(cD_gbs-hvac.com Project Location Number Street Floor Number 21616 76TH AVE W 2nd floor City Zip Code County Parcel Number EDMONDS 98026 00461000100101 Associated Building Permit Number Tenant Name Spec Suite Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 92129 Last Name or Company Name HR ACQUISITION I CORPORATION Suite or Room Number 202 Apartment or Suite Number City State Zip SOUTH LAKE TX 76092 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: 6/18/2023 Submitted By: Steven Knobbs Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Mechanical Application #1334589 - Spec Suite 202 Project Contact Company Name: GB Systems Name: Steven Knobbs Email: stevenk@gbs-hvac.com Address: 7202 NE 175th St Phone #: (206) 229-4977 KENMORE WA 98028 Project Type Nonresidential Activity Type Repair or Replacement Scope of Work Mechanical Project Name: Spec Suite 202 Description of Work: Demo and extend existing duct. Add 4 supply diffusers and 7 transfer grilles. Add 1 small bathroom exhaust fan. Project Details Scope of Work Duct Work Only Work Location Work Description/Location (example: 1 st floor, 2nd floor, suite 202 Master Bath, Garage) Page 2 of 2