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BLD2024-0796+Application+6.13.2024_4.56.48_PM+4321944CITY OF EDMONDS Mechanical Application #1503363 - Miller RTU Applicant First Name Last Name Garry Baumgartner Number Street Apartment or Suite Numl 6608 220th st sw City State Zip Mountlake terrace WA 98043 Contractor Company Name FISCHER HTG & A/C INC Number Street 6608 220th st Sw City State Zip Mountlake terrace WA 98043 State License Number License Expiration Date UBI # FISCHHC867NA 8/10/2024 603415278 Project Location Number Street 51 PINE ST i MyBuitdingPermit.com Company Name Fischer Plumbinq Co Inc, The ar E-mail Address garryl�@_fischerplumbinq.com Phone Number Extension (206) 783-4129 Apartment or Suite Number Phone Number Extension (206) 783-1190 E-mail Address City Zip Code County Parcel Number EDMONDS 98020 01022605131000 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name Richard K & Darlene C Miller Number Street Apartment or Suite Number 51 PINE ST 310 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: 6/13/2024 Submitted By: Garry Baumgartner Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1503363 - Miller RTU Project Contact Company Name: Fischer Plumbing Co Inc, The Name: Garry Baumgartner Email: garry@fischerplumbing.com Address: 6608 220th st sw Phone #: (206) 783-4129 Mountlake terrace WA 98043 Project Type Multifamily Residential Activity Type Repair or Replacement Project Name: Miller RTU Description of Work: replace rooftop package unit like for like Project Details Scope of Work Like for like equipment in the same location HVAC Systems HVAC - Roof Mounted Under 400 Ibs 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) 1 Scope of Work Mechanical Building 5 51 Pine Street roof Page 2 of 2