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BLD2024-1164+Application+9.6.2024_10.22.46_AM+4484461CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1543484 - Edmonds WWTP EF Install Applicant First Name Last Name Company Name Connie Hardin Holaday-Parks Inc. Number Street Apartment or Suite Number E-mail Address 4600 S. 134th PI. connieh(cD_holadayparks.com City State Zip Phone Number Extension Seattle WA 98168 (206) 250-4530 Contractor Company Name HOLADAY PARKS INC Number Street Apartment or Suite Number 4600 S. 134th PI. City State Zip Phone Number Extension Seattle WA 98168 (206) 250-4530 State License Number License Expiration Date UBI # E-mail Address HOLADPI379NO 9/3/2025 578004089 con nieh(cDholadayparks.com Project Location Number Street Floor Number Suite or Room Number 200 2ND AVE S 1 and roof none City Zip Code County Parcel Number EDMONDS 98020 27032300409100 Associated Building Permit Number Tenant Name Edmonds WWTP Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 121 5TH AVE N City State Zip EDMONDS WA 98020 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: 9/6/2024 Submitted By: Connie Hardin Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1543484 - Edmonds WWTP EF Install Project Contact Company Name: Holaday-Parks Inc. Name: Connie Hardin Address: 4600 S. 134th PI. Seattle WA 98168 Project Type Nonresidential Email: connieh@holadayparks.com Phone #: (206) 250-4530 Activity Type New Scope of Work Mechanical Project Name: Edmonds WWTP EF Install Description of Work: Install 2 Exhaust Fans and 1 Louver Project Details Scope of Work Installation of equipment HVAC Systems HVAC - Roof Mounted Under 400 Ibs Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 2 Install 2 Exhaust Fans (roof) and 1 Louver (1st floor) Page 2 of 2