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BLD2023-0796+Application+6.27.2023_3.35.24_PM+3635407CITY OF EDMONDS nnyst,ilaingPermit.com Mechanical Application #1339513 - it viale walk in Applicant First Name Last Name Company Name Brian Taylor it viale Number Street Apartment or Suite Number E-mail Address PO Box 698 City State Zip Edmonds WA 98020 Contractor Company Name D N D DESIGN LLC Number Street 8901 202nd PI SW City State Zip EDMONDS WA 98026 State License Number License Expiration Date Project Location Number Street 610 5TH AVE S City Zip Code EDMONDS 98020 Associated Building Permit Number Walk in for it viale Additional Information (i.e. equipment location or special instructions). Work Location ilviale.edmonds(a-)gmail.com Phone Number Extension (718) 938-7711 Apartment or Suite Number Phone Number Extension 4252200959 UBI # E-mail Address County Parcel Number 27032600100800 Tenant Name Brian Tavlor Property Owner First Name Last Name or Company Name 610 5TH AVE S LLC Floor Number Suite or Room Number 1 B Number Street Apartment or Suite Number C/O GREG PAYNE City State Zip SEATTLE WA 98117 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: 6/27/2023 Submitted By: Brian Taylor Page 1 of 2 CITY OF EDMONDS MYBuildingPerrnit.com Mechanical Application #1339513 - it viale walk in Project Contact Company Name: it viale Name: Brian Taylor Address: PO Box 698 Edmonds WA 98020 Email: ilviale.edmonds@gmail.com Phone #: (718) 938-7711 Project Type Activity Type Scope of Work Nonresidential New Mechanical Project Name: it viale walk in Description of Work: walk in installation at 610 5th Avenue, Suite B, Edmonds, 98020 Project Details Scope of Work Mech Equipment Per Plans Work Location Work Description/Location (example: 1 st floor, Walk in cooler in storage room 3, first floor, 610 5th Master Bath, Garage) Avenue, Suite B, Edmonds, 98020 Page 2 of 2