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BLD2024-1403_Application_10.24.2024_1.10.28_PM_4579666CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1566713 - Kuzma Expansion Applicant First Name Last Name Scott Brooks Company Name Williams Mechanical Inc Number Street 3903 Smith Ave Apartment or Suite Number E-mail Address info@williams-mechanical.com City State Zip Everett WA 98201 Phone Number Extension (425) 303-0828 Contractor Company Name WILLIAMS MECHANICAL INC Number Street 3903 Smith Ave Apartment or Suite Number City State Zip Everett WA 98201 Phone Number Extension (425) 303-0828 State License Number License Expiration Date WILLIM1088PA 10/1/2025 UBI # E-mail Address info@williams-mechanical.com Project Location Number Street 21104 70TH AVE W Floor Number Suite or Room Number 1 None City Zip Code EDMONDS 98026 County Parcel Number 00566900600301 Associated Building Permit Number Tenant Name Kuzma Fish Market LLC Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Kim A Pierce Number Street 17530 TALBOT RD Apartment or Suite Number City State EDMONDS WA Zip 98026-5059 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: 10/24/2024 Submitted By: Scott Brooks Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1566713 - Kuzma Expansion Project Contact Company Name: Williams Mechanical Inc Name: Scott Brooks Email: info@williams-mechanical.com Address: 3903 Smith Ave Phone #: (425) 303-0828 Everett WA 98201 Project Type Nonresidential Activity Type Repair or Replacement Project Name: Kuzma Expansion Description of Work: Gas piping for MUA Unit, Water Heater, Fryer & Range. Project Details Scope of Work Gas Piping Only (no fixture installation) 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) Scope of Work Mechanical Replace existing gas piping system for restaurant equipment, water heater & makeup air unit. Page 2 of 2