BLD2021-0469_Application_4.2.2021_2.43.06_PM_2125419CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #944129 - MECH PERMIT
Applicant
First Name Last Name Company Name
PERMIT COORDINATOR Blue Flame Htg Air & Electric
Number Street Apartment or Suite Number E-mail Address
7116 220TH ST SW SUITE 1 INFO@BLUEFLAMECOMFORT.COM
City State Zip Phone Number Extension
MOUNTLAKE WA 98043 4257717139
Contractor
Company Name
RESCUE ROOTER
Number Street Apartment or Suite Number
965 Ridge Lake Blvd Suite 201
City State Zip Phone Number Extension
Memphis TN 38120 4257717139
State License Number License Expiration Date UBI # E-mail Address
BLUEFFH825RM 12/31/2022 FD1 9'17g4q INFO@BLUEFLAMECOMFORT.COM
Project Location
Number Street Floor Number Suite or Room Number
22044 99TH PL W
City Zip Code County Parcel Number
EDMONDS 98020 00602100100600
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
Brian Michael Jzyk
Number Street Apartment or Suite Number
22044 99TH PL W
City State Zip
EDMONDS WA 98020-4540
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: 4/2/2021 Submitted By: PERMIT COORDINATOR
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #944129 - MECH PERMIT
Project Contact
Company Name:
Name: BRIAN JZYK
Address: 22044 99TH PL W
EDMONDS WA 98020
Email: THEJZYKS@GMAIL.COM
Phone #: 2064194912
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Name: MECH PERMIT
Description of Work: AC ADD
Project Details
HVAC Systems
Air Conditioner 1
Work Location
Work Description/Location (example: 1st floor, OUTSIDE
Master Bath, Garage)
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