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BLD2021-1291_Application_9.17.2021_11.30.43_AM_2415467CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1021426 - Stelma Applicant First Name Last Name Company Name Rusty Reed Cool Heat 365 LLC Number Street Apartment or Suite Number E-mail Address 9204 176th St NW coolheat365@yahoo.com City State Zip Phone Number Extension Stanwood WA 98292 4252931289 Contractor Company Name COOL HEAT 365 LLC Number Street Apartment or Suite Number 9204 176TH ST NW City State Zip Phone Number Extension STANWOOD WA 98292 4252931289 State License Number License Expiration Date UBI # E-mail Address COOLHH382405 9/25/2022 Rn4959177 coolheat365@yahoo.com Project Location Number Street Floor Number Suite or Room Number 7405 176TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00513100014102 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 Michael W & Kari Stelma Number Street Apartment or Suite Number 7405 176TH ST SW 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: 9/17/2021 Submitted By: Rusty Reed Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1021426 - Stelma Project Contact Company Name: Cool Heat 365 LLC Name: Rusty Reed Email: coolheat365@yahoo.com Address: 9204 176th St NW Phone #: 4252931289 Stanwood WA 98292 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: Stelma Description of Work: Replace Heat Pump Project Details HVAC Systems Heat Pump 1 Work Location Work Description/Location (example: 1st floor, Side of House Master Bath, Garage) Page 2 of 2