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BLD2024-0814_Application_6.19.2024_10.19.05_AM_4331543CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1506553 - Edmond School District Applicant First Name Last Name Company Name Hoa Dzip ZIP MECHANICAL Number Street Apartment or Suite Number E-mail Address 5538 s avon st hoa@zipmechanical.com City State Zip Phone Number Extension Seattle WA 98178 (206) 861-2512 Contractor Company Name ZIP MECHANICAL Number Street Apartment or Suite Number 5538 SOUTH AVON ST City State Zip Phone Number Extension SEATTLE WA 98178 (206) 861-2512 State License Number License Expiration Date UBI # E-mail Address ZIPMEM*842KD 5/4/2026 Rniisng1 P5 hoa@zipmechanical.com Project Location Number Street Floor Number Suite or Room Number 23200 100TH AVE W 1 Staff Resroom City Zip Code County Parcel Number EDMONDS 98020 27033600202200 Associated Building Permit Number Tenant Name Edmond School District Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name * EDMONDS SCHOOL DIST 15 Number Street Apartment or Suite Number 20420 68TH AVE W City State Zip LYN N WOOD WA 98020 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: 6/19/2024 Submitted By: Hoa Dzip Page 1 of 2 CITY OF EDMONDS M BuitdingPermit.com Mechanical Application #1506553 - Edmond School District Project Contact Company Name: ZIP MECHANICAL Name: Hoa Dzip Email: hoa@zipmechanical.com Address: 5538 s avon st Phone #: (206) 861-2512 Seattle WA 98178 Project Type Nonresidential Activity Type Repair or Replacement Project Name: Edmond School District Description of Work: Install new bath fan per drawing. Project Details Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) install a new batn fan Scope of Work Mechanical Page 2 of 2