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BLD2024-0753+Application+6.6.2024_2.12.26_PM+4306295CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1500249 - Virginia Mason Breakroom Sink Applicant First Name Last Name Company Name Fawn Garnett Western Mechanical Contractors Number Street Apartment or Suite Number E-mail Address 8209 S. 222nd St. permits(Dwesternmech.us City State Zip Phone Number Extension Kent WA 98032 (253) 946-9544 Contractor Company Name WESTERN MECH CONTRACTORS INC Number Street Apartment or Suite Number 8209 S. 222nd St. City State Zip Phone Number Extension Kent WA 98032 (253) 946-9544 (206) 605-2202 State License Number License Expiration Date UBI # E-mail Address WESTEMC798MF 7/2/2025 602783210 permits(D_westernmech.us Project Location Number Street Floor Number Suite or Room Number 7315 212TH ST SW 2 none City Zip Code County Parcel Number EDMONDS 98026 00566900500600 Associated Building Permit Number Tenant Name BLD2024-0285 Virginia Mason Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name GAHC4 EDMONDS WA MOB LLC Number Street Apartment or Suite Number 18191 VON KARMAN AVE City State Zip IRVINE CA 92612 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: 6/6/2024 Submitted By: Fawn Garnett Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1500249 - Virginia Mason Breakroom Sink Project Contact Company Name: Western Mechanical Contractors Name: Fawn Garnett Email: permits@westernmech.us Address: 8209 S. 222nd St. Phone #: (206) 605-2202 Kent WA 98032 Project Type Nonresidential Activity Type Repair or Replacement Scope of Work Plumbing Project Name: Virginia Mason Breakroom Sink Description of Work: Add one 17x19" stainless steel sink and one ice maker box for staff kitchenette for tenant improvement. Project Details Scope of Work Plumbing Fixtures Per Plans Type of Use Work does NOT have med gas, commercial kitchen, food svc, lab, medical, or dental use. Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Second Floor Staff Kitchenette - install one 17x19" sink and one ice maker box Page 2 of 2