BLD2021-1090_Application_8.6.2021_11.44.06_AM_2343591CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1002288 - BROOKSHIRE
Applicant
First Name Last Name Company Name
Brian Lee Sundance Energy Services Inc
Number Street Apartment or Suite Number E-mail Address
10228 Main Street brianl@sundanceenergy.com
City State Zip Phone Number Extension
Bothell WA 98011 4254819660
Contractor
Company Name
Sundance Energy Services Inc
Number Street Apartment or Suite Number
10228 Main Street
City State Zip Phone Number Extension
Bothell WA 98011 (425) 481-9660
State License Number License Expiration Date UBI # E-mail Address
SUNDAES063J9 9/12/2021 BD15416:37 kevinl@sundanceenergy.com
Project Location
Number Street Floor Number Suite or Room Number
18118 85TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00633100000500
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
Jon M & Cooksey Rachel E Brookshire
Number Street Apartment or Suite Number
18118 85TH PL W
City State Zip
EDMONDS WA 98026
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: 8/6/2021 Submitted By: Brian Lee
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1002288 - BROOKSHIRE
Project Contact
Company Name: Inc dance Energy Services
Name: Brian Lee Email: brianl@sundanceenergy.com
Address: 10228 Main Street Phone #: 4254819660
Bothell WA 98011
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Name: BROOKSHIRE
Description of Work: Replacing existing gas furnace and installing a new air -conditioner
Project Details
HVAC Systems
Air Conditioner
Furnace
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1
replacing gas furnace and adding an air -conditioner /
Laundry room and exterior of house
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