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BLD2021-0693+Application+5.19.2021_1.43.44_PM+2197382CITY OF EDMONDS nn BoildingPermit.com Mechanical Application #963394 - 14-21-19350 CompassHealth Urora House Applicant First Name Last Name Company Name Lyndsi Foster Hermanson Company Number Street Apartment or Suite Number E-mail Address 1221 2nd Avenue N Lfoster(�D_hermanson.com City State Zip Phone Number Extension Kent WA 98032 (206)305-9238 Contractor Company Name HERMANSON COMPANY LLP Number Street Apartment or Suite Number 1221 2nd Ave N City State Zip Phone Number Extension Kent WA 98032 (206) 575-9700 State License Number License Expiration Date UBI # E-mail Address HERMACLO05BJ 8/25/2022 602004844 Lfoster(a)_hermanson.com Project Location Number Street Floor Number Suite or Room Number 20903 70TH AVE W 1 st None City Zip Code County Parcel Number EDMONDS 98026 27042000302700 Associated Building Permit Number Tenant Name Compass Health Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name SNOHOMISH CO HOUSING AUTHORITY Number Street Apartment or Suite Number 12711 4TH AVE W City State Zip EVERETT WA 98204-5783 Certification Statement - The applicant states: I 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. I 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: 5/19/2021 Submitted By: Lyndsi Foster Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Mechanical Application #963394 - 14-21-19350 CompassHealth Urora House Project Contact Company Name: Hermanson Company Name: Lyndsi Foster Email: Lfoster@hermanson.com Address: 1221 2nd Avenue N Phone #: (206)305-9238 Kent WA 98032 Project Type Nonresidential Activity Type Repair or Replacement Project Name: 14-21-19350 CompassHealth Urora House Description of Work: Replace (2) split systems. Project Details Scope of Work Mechanical Scope of Work Like for like equipment in the same location Work Location Work Description/Location (example: 1 st floor, Replace (2) split systems. Master Bath, Garage) Page 2 of 2