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BLD2023-1554+Application+12.5.2023_12.16.09_PM+3934843CITY OF EDMONDS nnyst,ilaingPermit.com Mechanical Application #1412708 - Sunset Commercial Real Estate Applicant First Name Last Name Company Name Eddie Wanq Genesis Refriqeration & hvac LLC Number Street Apartment or Suite Number E-mail Address 19916 Old Owen Rd #144 City State Zip monroe WA 98272 Contractor Company Name GENESIS RFRG & HVAC LLC Number Street 19916 Old Owen Road # 144 City State Zip MONROE WA 98272 State License Number License Expiration Date GENESRH8620P 9/17/2024 Project Location Number Street 111 SUNSET AVE N City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner sean(.@-genesisservices.com Phone Number Extension (425) 785-1279 Apartment or Suite Number Phone Number Extension (425) 785-1279 UBI # E-mail Address 603361492 sean(a)_genesisservices.com County Parcel Number 00434401300200 Tenant Name Vacant Floor Number Suite or Room Number 1 105 First Name Last Name or Company Name EDMONDS SUNSET LLC Number Street Apartment or Suite Number 117 E LOUISA ST 230 City State Zip SEATTLE WA 98102 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: 12/5/2023 Submitted By: Eddie Wang Page 1 of 2 CITY OF EDMONDS M BuildingPerrntt.com Mechanical Application #1412708 - Sunset Commercial Real Estate Project Contact Company Name: Genesis Refrigeration & hvac Name: Eddie Wang Email: sean@genesisservices.com Address: 19916 Old Owen Rd #144 Phone #: (425) 785-1279 monroe WA 98272 Project Type Activity Type Scope of Work Nonresidential Repair or Replacement Mechanical Project Name: Sunset Commercial Real Estate Description of Work: Installation of single indoor, single outdoor Mitsubishi mini -split system. Project Details Scope of Work Mech Equipment For Building Permit Mech Equipment Per Plans HVAC Systems HVAC - Exterior Ground Mounted 1 Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, 1st floor, Suite 105, install mini -split Master Bath, Garage) Page 2 of 2