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BLD2024-0233+Application+2.20.2024_2.02.39_PM+4070757CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1445004 - Refrigeration Applicant First Name Last Name Company Name Vitaliy Nozdrin Puqet Sound Refrigeration LLC Number Street Apartment or Suite Number E-mail Address 19716 75th Ave E pugetsoundrefrigeration(cb_gmail.com City State Zip Phone Number Extension Spanaway WA 98387 (253) 227-6370 Contractor Company Name PUGET SOUND REFRIG LLC Number Street Apartment or Suite Number 19716 75TH AVE E City State Zip Phone Number Extension SPANAWAY WA 98387 (253) 227-6370 State License Number License Expiration Date UBI # E-mail Address PUGETSR787JK 4/12/2024 604825826 pugetsoundrefrigeration(cDgmail.com Project Location Number Street Floor Number Suite or Room Number 21104 70TH AVE W 1 none City Zip Code County Parcel Number EDMONDS 98026 00566900600301 Associated Building Permit Number Tenant Name BLD2023-1136 Kuzmas Fish Market 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 Apartment or Suite Number 17530 TALBOT RD City State Zip EDMONDS WA 98026-5059 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: 2/20/2024 Submitted By: Vitaliy Nozdrin Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1445004 - Refrigeration Project Contact Company Name: PLCet Sound Refrigeration Name: Vitaliy Nozdrin Email: pugetsoundrefrigeration@gmail.com Address: 19716 75th Ave E Phone #: (253) 227-6370 Spanaway WA 98387 Project Type Activity Type Scope of Work Nonresidential Alteration Mechanical Project Name: Refrigeration Description of Work: addition of 3 new refrigeration systems and relocating one existing system. Project Details Scope of Work Mech Equipment For Building Permit Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1 st floor, Main sales floor Master Bath, Garage) Page 2 of 2