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BLD2021-1184_Application_8.25.2021_12.06.56_PM_2375618CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1010704 - 21-6141 McCarthy Applicant First Name Last Name Company Name Joe Martin D/B Solutions Number Street Apartment or Suite Number E-mail Address 2100 196th Street SW 122 joe@dbsolutionsnw.net City State Zip Phone Number Extension Lynnwood WA 98036 (425)744-6300 Contractor Company Name DB SOLUTIONS Number Street Apartment or Suite Number 2100 196th St SW Suite 122 City State Zip Phone Number Extension Lynnwood WA 98036 (425) 744-6300 State License Number License Expiration Date UBI # E-mail Address DBSOLSL934BK 1/30/2023 FDgBR7D64 joe@dbsolutionsnw.net Project Location Number Street Floor Number Suite or Room Number 941 SPRUCE ST City Zip Code County Parcel Number EDMONDS 98020 00371900201100 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 Maurice W & Lesion Nancy S Mccarthy Number Street Apartment or Suite Number PO BOX 365 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: 8/25/2021 Submitted By: Joe Martin Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1010704 - 21-6141 McCarthy Project Contact Company Name: D/B Solutions Name: Joe Martin Email: joe@dbsolutionsnw.net Address: 2100 196th Street SW 122 Phone #: (425)744-6300 Lynnwood WA 98036 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: 21-6141 McCarthy Description of Work: Remove existing gas furnace. Install new gas furnace with air conditioning to existing ductwork system. Project Details HVAC Systems Air Conditioner 1 Furnace 1 Work Location Work Description/Location (example: 1st floor, Basement Master Bath, Garage) Page 2 of 2