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Application_1476320CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1476320 Applicant First Name Last Name Serghei Sturza Company Name PRIME SYSTEMS LLC Number Street 7124 197th St SE Apartment or Suite Number E-mail Address primesystems19@gmail.com City State Zip Snohomish WA 98296 Phone Number Extension (425) 326-7846 Contractor Company Name PRIME SYSTEMS LLC Number Street 7124 197th St SE Apartment or Suite Number City State Zip Snohomish WA 98296 Phone Number Extension (425) 326-7846 State License Number License Expiration Date PRIMESL813LM 6/14/2025 UBI # E-mail Address RD44RPni4 primesystems19@gmail.com Project Location Number Street 7130 165TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00513100008511 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Korissa A & Reyes Anthony L Reyes Number Street 15908 71STAVE NE Apartment or Suite Number City State KENMORE WA Zip 98028 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 4/19/2024 Submitted By: Serghei Sturza Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1476320 Project Type Single Family Residential Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Side of the house Master Bath, Garage) Scope of Work Mechanical Page 2 of 2