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BLD2023-0836+Application+7.5.2023_2.16.26_PM+3648458CITY OF EDMOill MyBuildingPermit.com IF Mechanical Application #1342581 - Outdoor Walk-in Cooler Applicant First Name Last Name Company Name Pedro Germano Demetris Woodstone Taverna Number Street Apartment or Suite Number E-mail Address 101 Main Street pedro(�Dkafeneo.net City State Zip Phone Number Extension Edmonds WA 98020 (206) 739-4279 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 101 MAIN ST 1 A City Zip Code County Parcel Number EDMON DS 98020 00434401300101 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name KAFE NEO-ALDERWOOD LLC Number Street Apartment or Suite Number 101 MAIN ST 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: 7/5/2023 Submitted By: Pedro Germano Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1342581 - Outdoor Walk-in Cooler Project Contact Company Name: Demetris Woodstone Taverna Name: Pedro Germano Email: pedro@kafeneo.net Address: 101 Main Street Phone #: (206) 739-4279 Edmonds WA 98020 Project Type Mixed Use Activity Type New Scope of Work Mechanical Project Name: Outdoor Walk-in Cooler Description of Work: Install an outdoor walk-in cooler in the back of the building. The installation will be done on a concrete floor. Project Details Scope of Work Mech Equipment For Building Permit Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, Installation of outdoor walk-in cooler in the back for the Master Bath, Garage) building. Walk-in cooler will be built on top of the concrete floor. Page 2 of 2