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BLD2024-0758+Application+6.7.2024_9.05.26_AM+4307507RECEIVED 6/71202 BLD2024-0758 ` CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CITY OF EDMONDS Mechanical Application #1500574 - Club Pilates TI MyBuitdingPermit.com Applicant First Name Last Name Company Name Alex Burkhart Everqreen Refrigeration Number Street Apartment or Suite Number E-mail Address 727 South Kenyon St. alexb(abevergreenhvac.com City State Zip Phone Number Extension Seattle WA 98108 (206) 763-1744 Contractor Company Name EVERGREEN REFRIGERATION LLC Number Street Apartment or Suite Number 727 South Kenyon St. City State Zip Phone Number Extension Seattle WA 98108 (206) 763-1744 State License Number License Expiration Date UBI # E-mail Address EVERGRL954R2 1/6/2026 602512953 alexb(a_evergreenhvac.com Project Location Number Street Floor Number Suite or Room Number 23805 HIGHWAY 99 1 N/A City Zip Code County Parcel Number EDMONDS 98026 00451900200500 Associated Building Permit Number Tenant Name BLD2024-0274 Club Pilates Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Eunsun Cho Number Street Apartment or Suite Number PO BOX 50046 City State Zip BELLEVUE WA 98015 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: 6/7/2024 Submitted By: Alex Burkhart Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1500574 - Club Pilates TI Project Contact Company Name: Evergreen Refrigeration Name: Alex Burkhart Email: alexb@evergreenhvac.com Address: 727 South Kenyon St. Phone #: (206) 763-1744 Seattle WA 98108 Project Type Nonresidential Activity Type New Scope of Work Mechanical Project Name: Club Pilates TI Description of Work: Installation of ductwork, grilles/diffusers, and three (3) exhaust fans. Project Details Scope of Work Mech Equipment For Building Permit Mech Equipment Per Plans Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Inside Club Pilates tenant space. Page 2 of 2