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BLD2021-0664_Application_5.13.2021_2.44.06_PM_2195868CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #963145 - MORK MECH 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 (253) 872-5330 (253) 872-4902 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 509 3RD AVE N City Zip Code County Parcel Number EDMONDS 98020 27032400204700 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 Julie E Mork Number Street Apartment or Suite Number 509 3RD AVE N City State Zip EDMONDS WA 98020 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: 5/13/2021 Submitted By: PERMIT COORDINATOR Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #963145 - MORK MECH Project Contact Company Blue Flame Htg Air & Electric Name: Name: PERMIT COORDINATOR Email: INFO@BLUEFLAMECOMFORT.COM Address: 7116 220TH ST SW SUITE 1 Phone #: 4257717139 MOUNTLAKE TERRACE WA 98043 Project Type Single Family Residential Project Name: MORK MECH Description of Work: HEAT PUMP INSTALL Project Details Activity Type Scope of Work Alteration Mechanical HVAC Systems Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 OUTDOORS Page 2 of 2