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Application_1027774CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1027774 Applicant First Name Last Name Amanda Webster Company Name All Climate Heating and Air Conditioning Number Street 17527 NE 67th CT Apartment or Suite Number E-mail Address install@allclimate.net City State Zip Redmond WA 98052 Phone Number Extension 4257463077 Contractor Company Name ALL CLIMATE HEATING & A/C Number Street 17527 NE 67th CT Apartment or Suite Number City State Zip Redmond WA 98052 Phone Number Extension 425-746-3077 425-864-1368 State License Number License Expiration Date ALLCLCH966C6 2/26/2022 UBI # E-mail Address Fn99R4n37 install@allclimate.net Project Location Number Street 17922 72ND AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00473700004500 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 Richard W & Nancy K Maxwell Number Street 8130 240TH ST SW Apartment or Suite Number A 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: 9/30/2021 Submitted By: Amanda Webster Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1027774 Project Type Single Family Residential Project Details Appliances and Equipment Gas Piping Outlets - Mech Other Range Work Location Activity Type Scope of Work Alteration Mechanical Work Description/Location (example: 1st floor, Run gas piping to range location in crawl space Master Bath, Garage) Page 2 of 2