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Application_2021-0701CITY OF EDMONDS M BuildingPermit.com Plumbing Application #966592 Applicant First Name Last Name PERMIT COORDINATOR Company Name Blue Flame Htg Air & Electric Number Street 7116 220TH ST SW Apartment or Suite Number E-mail Address SUITE 1 INFO@BLUEFLAMECOMFORT.COM City State Zip MOUNTLAKE WA 98043 Phone Number Extension 4257717139 Contractor Company Name RESCUE ROOTER Number Street 965 Ridge Lake Blvd Apartment or Suite Number Suite 201 City State Zip Memphis TN 38120 Phone Number Extension 4257717139 State License Number License Expiration Date BLUEFFH825RM 12/31/2022 UBI # E-mail Address FD1 9'17g4q INFO@BLUEFLAMECOMFORT.COM Project Location Number Street 20207 80TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27041900118000 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 Darrel & Jane Gateley Number Street 20207 80TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 5/20/2021 Submitted By: PERMIT COORDINATOR Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #966592 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, INSIDE Master Bath, Garage) Scope of Work Plumbing Page 2 of 2