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BLD2024-0194+Application+2.13.2024_12.35.05_PM+4057036CITY OF EDMONDS Plumbing Application #1442128 - Atlas Coffee Applicant First Name Last Name Kelsey Kinq Number Street Apartment or Suite Numt 15820 Ambaum Blvd SW City State Zip Burien WA 98166 Contractor Company Name AMERICAN MECHANICAL CORP Number Street 15820 Ambaum Blvd SW City State Zip BURIEN WA 98166 State License Number License Expiration Date UBI # AMERIMC796MG 7/12/2025 601433818 Project Location Number Street 201 5TH AVE S i MyBuitdingPermit.com Company Name AMERICAN MECHANICAL CORPORATION ar E-mail Address kelsey(cD_americanmechanicalcorp.com Phone Number Extension (206) 467-6407 Apartment or Suite Number Phone Number Extension (206) 467-6407 E-mail Address kelsey(cDamericanmechanicalcorp.com City Zip Code County Parcel Number EDMON DS 98020 00434212100100 Associated Building Permit Number Tenant Name BLD2023-0769 Atlas Coffee Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 5003 Last Name or Company Name R H OLD MILL TOWN ASSOC LLC Floor Number Suite or Room Number 2 201 Apartment or Suite Number City State Zip BELLEVUE WA 98009 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: 2/13/2024 Submitted By: Kelsey King Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1442128 - Atlas Coffee Project Contact Company AMERICAN MECHANICAL Name: CORPORATION Name: Kelsey King Email: kelsey@americanmechanicalcorp.com Address: 15820 Ambaum Blvd SW Phone #: (206) 467-6407 Burien WA 98166 Project Type Nonresidential Activity Type Alteration Scope of Work Plumbing Project Name: Atlas Coffee Description of Interior tenant improvement of existing space. Includes rough-in/install of new breakroom Work: sink in Staff Lounge. Rough-in/hookup of owner provided sink & dishwasher (non commercial). Hot water to be supplied by under counter point of use water heaters. 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) n Interior remodel of existing space on the 2nd floor for tenant Atlas Coffee Page 2 of 2