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BLD2022-1587+Application+11.17.2022_8.17.45_AM+3224978CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1231216 - EMP - Spec Suite 202 Applicant First Name Last Name Company Name Greq Smallinq GS MECHANICAL LLC Number Street Apartment or Suite Number E-mail Address PO Box 65 City State Redmond WA Contractor Company Name GS MECHANICAL LLC Number Street PO Box 65 City Redmond State License Number GSMECML795RW Project Location Number Street 21616 76TH AVE W City EDMONDS Associated Building Permit Number greq(.@gsmechanicalshop.com Zip Phone Number Extension 98073-0065 (206) 372-0332 State Zip WA 98073-0065 License Expiration Date UBI # 12/15/2023 602564160 Apartment or Suite Number Phone Number Extension (206) 372-0332 E-mail Address greq(a)_gsmechanicalshop.com Floor Number 2 Zip Code County Parcel Number 98026 00461000100101 Tenant Name Edmonds Medical Plaza - Spec Suite 202 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: 11/17/2022 Submitted By: Greg Smalling Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Plumbing Application #1231216 - EMP - Spec Suite 202 Project Contact Company Name: GS MECHANICAL LLC Name: Greg Smalling Email: greg@gsmechanicalshop.com Address: PO Box 65 Phone #: (206) 372-0332 Redmond WA 98073-0065 Project Type Activity Type Scope of Work Nonresidential Alteration Plumbing Project Name: EMP - Spec Suite 202 Description of Work: Plumbing rough -in and fixtures for clinical space remodel including exam rooms, toilet and break room. Project Details Scope of Work Plumbing Fixtures Per Plans Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered 8 Work Location Work Description/Location (example: 1 st floor, Suite 202 Master Bath, Garage) Page 2 of 2