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BLD2021-0545_Application_4.15.2021_8.50.52_AM_2146537CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #949915 - Chase Applicant First Name Last Name Company Name Mlchaela Pollard King's Heating, Inc. Number Street Apartment or Suite Number E-mail Address 18933 HWY 99 contact@KingsHeating.com City State Zip Phone Number Extension Lynnwood WA 98036 4252755153 Contractor Company Name KINGS HEATING INC Number Street Apartment or Suite Number 18933 Highway 99 City State Zip Phone Number Extension Lynnwood WA 98036 (425) 275-5153 State License Number License Expiration Date UBI # E-mail Address KINGSH1044JA 3/10/2022 FD1 SR95g5 contact@KingsHeating.com Project Location Number Street Floor Number Suite or Room Number 9530 215TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00528200001400 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 Chevy & Joann Chase Number Street Apartment or Suite Number 20301 MAPLEWOOD DR City State Zip EDMONDS WA 98026-6669 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: 4/15/2021 Submitted By: Mlchaela Pollard Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #949915 - Chase Project Contact Company Name: King's Heating, Inc. Name: Mlchaela Pollard Email: contact@KingsHeating.com Address: 18933 HWY 99 Phone #: 4252755153 Lynnwood WA 98036 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: Chase Description of Work: Replacing gas furnace like -for -like and adding AC Project Details HVAC Systems Air Conditioner 1 Furnace 1 Work Location Work Description/Location (example: 1st floor, Garaga and exterior Master Bath, Garage) Scope of Work Mechanical Page 2 of 2