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Application_948012CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #948012 Applicant First Name Last Name Darbi Rice Company Name Bob's Heating and Air Conditioning Number Street 14148 NE 190th St Apartment or Suite Number E-mail Address DRice@bobsheating.com City State Zip Woodinville WA 98072 Phone Number Extension 4258899345 Contractor Company Name BOB'S HEATING & AIR CNDTNG LLC Number Street 14148 NE 190th St Apartment or Suite Number City State Zip Woodinville WA 98072 Phone Number Extension 4258899345 State License Number License Expiration Date BOBSHHA853NQ 9/7/2021 UBI # E-mail Address BDi597n9R DRice@bobsheating.com Project Location Number Street 520 3RD AVE N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032400206000 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 Robert L Jr & Debra A Purser Number Street 520 3RD AVE N Apartment or Suite Number City State EDMONDS WA Zip 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 4/12/2021 Submitted By: Darbi Rice Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #948012 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Appliances and Equipment Gas Piping Outlets - Mech Work Location Work Description/Location (example: 1 st floor, Gas pipe line to firepit Master Bath, Garage) Page 2 of 2