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BLD2023-0477+Application+4.17.2023_9.00.26_AM+3486065CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1299976 - Cline Jewelers Applicant First Name Last Name Company Name Greq Smallinq GS MECHANICAL LLC Number Street Apartment or Suite Number E-mail Address PO Box 65 greq(�D_gsmechanicaIshop. com City State Zip Phone Number Extension Redmond WA 98073-0065 (206) 372-0332 Contractor Company Name GS MECHANICAL LLC Number Street Apartment or Suite Number PO Box 65 City Redmond State License Number GSMECML795RW Project Location Number Street 100 5TH AVE N City EDMONDS Associated Building Permit Number State Zip WA 98073-0065 License Expiration Date UBI # 12/15/2023 602564160 Phone Number Extension (206) 372-0332 E-mail Address greq(a)_gsmechanicalshop.com Zip Code County Parcel Number 98020 00434202103100 Tenant Name Cline Jewelers Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 1 none First Name Last Name or Company Name CAMWEST INC Number Street Apartment or Suite Number 1404 GOAT TRAIL LOOP RD City State Zip MUKILTEO WA 98275 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: 4/17/2023 Submitted By: Greg Smalling Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Plumbing Application #1299976 - Cline Jewelers 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: Cline Jewelers Description of Work: Plumbing rough -in and fixtures for restrooms, break area and jewelers 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 10 Work Location Work Description/Location (example: 1 st floor, 1 st floor Master Bath, Garage) Page 2 of 2