Application_1025711CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1025711
Applicant
First Name Last Name
Valura Brashears
Company Name
Lifetime Heating & Air Conditioning
Number Street
2801 Bickford Ave.
Apartment or Suite Number E-mail Address
Suite 103-148 valurab@lifetimeheating.com
City State Zip
Snohomish WA 98290
Phone Number Extension
4255534328
Contractor
Company Name
REFINED HEATING & A/C
Number Street
5413 PANTHER LAKE RD
Apartment or Suite Number
City State Zip
SNOHOMISH WA 98290
Phone Number Extension
(425)359-5687
State License Number License Expiration Date
LIFETHA8201_8 6/28/2022
UBI # E-mail Address
RD4D54gBR valurab@lifetimeheating.com
Project Location
Number Street
1005 5TH AVE S
Floor Number Suite or Room Number
203B
City Zip Code
EDMONDS 98020
County Parcel Number
00694700220300
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
Bill Doyle
Number Street
1005 5TH AVE S 203B
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020
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: 9/27/2021 Submitted By: Valura Brashears
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1025711
Project Type
Single Family Residential
Project Details
Heaters
Fireplace Insert - Gas
Work Location
Activity Type
Repair or Replacement
Scope of Work
Mechanical
Work Description/Location (example: 1 st floor, Uninstalling and Reinstalling same fireplace to code
Master Bath, Garage)
Page 2 of 2