BLD2022-0769+Application+6.13.2022_12.10.07_PM+2928283CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1157973 - N FIRDALE VILLAGE / DENTAL
Applicant
First Name Last Name Company Name
Ruth Sequra Synerqy
Number Street Apartment or Suite Number E-mail Address
7542 Woodley Ave rsequra(c.synergy.cc
City State Zip Phone Number Extension
Van Nuys CA 91406 (661) 754-1282
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
10014 238TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00615800000100
Associated Building Permit Number Tenant Name
BLD20150924 Vacant
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
1 None
First Name Last Name or Company Name
Thomas & Phan Quyen Sawyer
Number Street Apartment or Suite Number
1005 196TH PL SW
City State Zip
LYNNWOOD WA 98036-7188
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: 6/13/2022 Submitted By: Ruth Segura
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1157973 - N FIRDALE VILLAGE / DENTAL
Project Contact
Company Name: Synergy
Name: Ruth Segura
Address: 7542 Woodley Ave
Van Nuys CA 91406
Project Type
Nonresidential
Email: rsegura@synergy.cc
Phone #: (661) 754-1282
Activity Type
Alteration
Project Name: N FIRDALE VILLAGE / DENTAL
Scope of Work
Mechanical
MODIFICATION TO EXISTING CELL TOWER SCOPE OF WORK: 1. INSTALL (1) 48kW
Description of DIESEL GENERATOR WITH 240 GALLON BELLY TANK ON PROPOSED 4'-0"x9'-0"
Work: CONCRETE PAD 2. INSTALL (1) 200A AUTOMATIC TRANSFER SWITCH ON EXISTING
BACKBOARD 3. INSTALL SITE SIGNAGE 4. INSTALL BRANCH CIRCUITS TO
GENERATOR
Project Details
Scope of Work
Mech Equipment Per Plans
Appliances and Equipment
LPG 125 to 250 gallon tanks
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1 st floor,
Master Bath, Garage)
1
Modification to existing T-Mobile wireless unmanned
telecommunications Facility: 1. INSTALL (1) 48kW
DIESEL GENERATOR WITH 240 GALLON BELLY
TANK ON PROPOSED 4'-0"x9'-0" CONCRETE PAD 2.
INSTALL (1) 200A AUTOMATIC TRANSFER SWITCH
ON EXISTING BACKBOARD 3. INSTALL SITE
SIGNAGE 4. INSTALL BRANCH CIRCUITS TO
GENERATOR
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