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Application_2021-1313CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1024929 Applicant First Name Last Name Michaela Pollard Company Name King's Heating, Inc. Number Street 18933 HWY 99 Apartment or Suite Number E-mail Address contact@KingsHeating.com City State Zip Lynnwood WA 98036 Phone Number Extension 4252755153 Contractor Company Name KING'S HEATING INC Number Street 18933 Highway 99 Apartment or Suite Number City State Zip Lynnwood WA 98036 Phone Number Extension (425) 275-5153 State License Number License Expiration Date KINGSH1044JA 3/10/2022 UBI # E-mail Address Fn1 SR95g5 contact@KingsHeating.com Project Location Number Street 8721 182ND PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00567200000100 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 Peter P & Elissa S Ttee Everett Number Street 8721 182ND PL SW Apartment or Suite Number City State EDMONDS WA Zip 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 9/24/2021 Submitted By: Michaela Pollard Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1024929 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace Work Location Work Description/Location (example: 1st floor, Garage Master Bath, Garage) Page 2 of 2