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BLD2021-0511_Application_4.8.2021_5.26.44_PM_2136182CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #947051 - MONTGOMERY Applicant First Name Last Name Company Name Gabriel Bond Double Bond Heating and Air Number Street Apartment or Suite Number E-mail Address 610 Nw 78th st gabriel@doublebondheatingandair.com City State Zip Phone Number Extension Seattle WA 98117 (253)232-6161 Contractor Company Name Double Bond Heating and Air Number Street Apartment or Suite Number 610 NW 78th Street City State Zip Phone Number Extension Seattle WA 98117 12068492620 State License Number License Expiration Date UBI # E-mail Address DOUBLBH859CF 8/7/2021 BD:3447:3g4 gabriel@doublebondheatingandair.com Project Location Number Street Floor Number Suite or Room Number 23918 80TH PL W City Zip Code County Parcel Number EDMONDS 98026 00511500000200 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 Nancy V Brown Number Street Apartment or Suite Number 23918 80TH PL W City State Zip EDMONDS WA 98026 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: 4/8/2021 Submitted By: Gabriel Bond Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #947051 - MONTGOMERY Project Contact Company Name: Double Bond Heating and Air Name: Gabriel Bond Email: gabriel@doublebondheatingandair.com Address: 610 Nw 78th st Phone #: (253)232-6161 Seattle WA 98117 Project Type Activity Type Single Family Residential Repair or Replacement Scope of Work Mechanical Project Name: MONTGOMERY Description of Work: REMOVE ELECTRIC FURNACE AND REPLACE WITH DAIKIN ELECTRIC AIR HANDLER AND HEAT PUMP Project Details HVAC Systems Air Handler 10,000 CFM or less 1 Heat Pump 1 Work Location Work Description/Location (example: 1st floor, 1ST FLOOR Master Bath, Garage) Page 2 of 2