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BLD2024-0611_Application_5.7.2024_7.38.28_AM_4240759CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1484406 - 9649 Applicant First Name Last Name Company Name COREY ALEXANDER Infrasource Services Number Street Apartment or Suite Number E-mail Address 1660 Park Lane corey.alexander@pse.com City State Zip Phone Number Extension Burlington WA 98233 (425) 516-4388 Contractor Company Name Infrasource Services LLC Number Street Apartment or Suite Number 1660 Park Lane City State Zip Phone Number Extension Burlington WA 98233 (425) 466-4771 State License Number License Expiration Date UBI # E-mail Address INFRASL871C2 2/22/2025 FD:199gssR corey.alexander@pse.com Project Location Number Street Floor Number Suite or Room Number 9649 FIRDALE AVE BACKWALL 1 City Zip Code County Parcel Number EDMONDS 98020 00449900000100 Associated Building Permit Number Tenant Name TRACY GRADY Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name FIRDALE ASSOCIATES LLC Number Street Apartment or Suite Number 9500 ROOSEVELT WAY NE 100 City State Zip SEATTLE WA 98115 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: 5/7/2024 Submitted By: COREY ALEXANDER Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1484406 - 9649 Project Contact Company Name: Infrasource Services Name: COREY ALEXANDER Email: corey.alexander@pse.com Address: 1660 Park Lane Phone #: (425) 516-4388 Burlington WA 98233 Project Type Activity Type Scope of Work Nonresidential Alteration Mechanical Project Name: 9649 Description of Work: RELOCATION OF THE GAS METER Project Details Scope of Work Gas Piping Only (no fixture installation) Work Location Work Description/Location (example: 1st floor, RELOCATION OF THE GAS METER Master Bath, Garage) Page 2 of 2