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BLD2021-1059_Application_7.30.2021_10.27.26_AM_2330709CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #998875 - Herzig Residence Applicant First Name Last Name Company Name Elizabeth Jorgenson Cardinal Heating and A/C Number Street Apartment or Suite Number E-mail Address 13649 NE 126th PI 101 elizabethj@cardinalheating.com City State Zip Phone Number Extension Kirkland WA 98034 4258279997 137 Contractor Company Name CARDINAL HEATING & A/C INC Number Street Apartment or Suite Number 13649 NE 126th PL 101 City State Zip Phone Number Extension Kirkland WA 98034 (425) 827-9997 State License Number License Expiration Date UBI # E-mail Address CARDIHA823MU 7/31/2022 BD15P.171 R elizabethj@cardinalheating.com Project Location Number Street Floor Number Suite or Room Number 224 SKYLINE DR City Zip Code County Parcel Number EDMONDS 98020 00423000005900 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 Buell S & Cathy M Herzig Number Street Apartment or Suite Number 224 SKYLINE DR 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: 7/30/2021 Submitted By: Elizabeth Jorgenson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #998875 - Herzig Residence Project Contact Company Name: Cardinal Heating and A/C Name: Elizabeth Jorgenson Email: elizabethj@cardinalheating.com Address: 13649 NE 126th PI 101 Phone #: 4258279997 137 Kirkland WA 98034 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Name: Herzig Residence Description of Work: Install AC, radiant heating and gas piping to the sunroom. Project Details Boilers and Water Heaters Boiler or Compressor 100,000 BTU or less 1 Appliances and Equipment Gas Piping Outlets - Mech 1 HVAC Systems Air Conditioner 1 Work Location Work Description/Location (example: 1st floor, Sunroom Master Bath, Garage) Page 2 of 2