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Application_972593CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #972593 Applicant First Name Perdomo Last Name Lindsey Company Name Air North Energy Number Street PO Box Apartment or Suite Number E-mail Address airnorthenergy@comcast.net City State Woodinville WA Zip 98072 Phone Number Extension (425) 488-6758 Contractor Company Name AIR NORTH ENERGY LLC Number Street PO Box Apartment or Suite Number City Woodinville State Zip WA 98072 Phone Number Extension (425) 488-6758 State License Number AIRNONE881 C2 License Expiration Date 3/2/2022 UBI # E-mail Address BD317f157D airnorthenergy@comcast.net Project Location Number Street 18108 76TH AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00370800200500 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Samuel Last Name or Company Name Spencer Number Street 18108 76TH AVE W Apartment or Suite Number City EDMONDS State 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: 6/3/2021 Submitted By: Perdomo Lindsey Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #972593 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, replace furnace in garage Master Bath, Garage) Scope of Work Mechanical Page 2 of 2