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BLD2021-0797+Application+6.10.2021_10.29.48_AM+2242498CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #968264 - Main Street Commons -Edmonds Applicant First Name Last Name Company Name Tim Green Pacific Mechanical Systems Inc Number Street Apartment or Suite Number E-mail Address 2100 196th Street SW Suite 123 tim.green(Dpacmech-hvac.com City State Zip Phone Number Extension Lynnwood WA 98036 2067710222 Contractor Company Name PACIFIC MECHANICAL SYSTEMS INC Number Street Apartment or Suite Number 2100 196TH ST SW Suite 123 City State Zip Phone Number Extension LYNNWOOD WA 98036 (425)771-2495 2067710222 State License Number License Expiration Date UBI # E-mail Address PACIFMS034137 2/10/2022 601764457 tim.green(cDpacmech-hvac.com Project Location Number Street Floor Number Suite or Room Number 550 MAIN ST 1-2 none City Zip Code County Parcel Number EDMONDS 98020 00434212001500 Associated Building Permit Number Tenant Name Vacant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name SEATTLE-SNOHOMISH MILL COMPANY INC Number Street Apartment or Suite Number 533 5th Ave S City State Zip Edmonds WA 98020-3458 Certification Statement - The applicant states: 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. 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: 6/10/2021 Submitted By: Tim Green Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #968264 - Main Street Commons -Edmonds Project Contact Company Name: Pacific Mechanical Systems Inc Name: Tim Green Email: tim.green@pacmech-hvac.com Address: 1200 196th Street SW Suite Phone #: 2067710222 Lynnwood WA 98036 Project Type Nonresidential Activity Type Alteration Scope of Work Mechanical Project Name: Main Street Commons -Edmonds Description of HVAC: Ground level - (4) exhaust fans & associated duct work; 2nd Floor (upper level)-(2) Work: rooftop units & assoc. duct work and (1) split heat pump & assoc. duct work. Project Details Scope of Work Installation of equipment Mech Equipment For Building Permit Mech Equipment Per Plans Work Location Work Description/Location (example: 1 st floor, Ground level - (4) exhaust fans & associated duct work; Master Bath, Garage) 2nd Floor (upper level)-(2) rooftop units & assoc. duct work and (1) split heat pump & assoc. duct work. Page 2 of 2