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BLD2021-1074_Application_8.3.2021_1.00.19_PM_2336535CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1000617 - mechanical-Devrin Applicant First Name Last Name Company Name Valura Brashears Lifetime Heating & Air Conditioning Number Street Apartment or Suite Number E-mail Address 2801 Bickford Ave. Suite 103-148 valurab@lifetimeheating.com City State Zip Phone Number Extension Snohomish WA 98290 4255534328 Contractor Company Name REFINED HEATING & A/C Number Street Apartment or Suite Number 5413 PANTHER LAKE RD City State Zip Phone Number Extension SNOHOMISH WA 98290 (425)359-5687 State License Number License Expiration Date UBI # E-mail Address LIFETHA8201_8 6/28/2022 RD4D54gBR valurab@lifetimeheating.com Project Location Number Street Floor Number Suite or Room Number 9022 218TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00380300100101 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 Patrick Devrin Number Street Apartment or Suite Number 10016 EDMONDS WAY C119 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: 8/3/2021 Submitted By: Valura Brashears Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1000617 - mechanical-Devrin Project Contact Company Name: Lifetime Heating & Air Conditioning Name: Valura Brashears Email: valurab@lifetimeheating.com Address: 2801 Bickford Ave. Suite Phone #: 4255534328 103-148 Snohomish WA 98290 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: mechanical-Devrin Description of Work: installation of furnace and ac Project Details HVAC Systems Air Conditioner Furnace Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 AC located exterior of home behind fence, furnace in garage Page 2 of 2