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Application_2021-1417CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1034690 Applicant First Name Last Name Company Name Jaimie How Brennan Heating & Air Conditioning LLC Number Street Apartment or Suite Number E-mail Address 4601 S 134th PI jaimie@brennanheating.com City State Zip Phone Number Extension SEATTLE WA 98168 2062487900 Contractor Company Name BRENNAN HEATING & A/C LLC Number Street Apartment or Suite Number 23613 107th PI W City State Zip Phone Number Extension Edmonds WA 98020 206-542-6803 State License Number License Expiration Date UBI # E-mail Address BRENNHA971 R9 12/29/2021 Rng.mRR66 jaimie@brennanheating.com Project Location Number Street Floor Number Suite or Room Number 23613 107TH PL W City Zip Code County Parcel Number EDMONDS 98020 00689500004200 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 TAGIOS CONSTANTINOS Number Street Apartment or Suite Number 23613 107TH PL W City State Zip EDMONDS WA 98020-5257 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: 10/13/2021 Submitted By: Jaimie How Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1034690 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Work Description/Location (example: 1 st floor, Replace gas furnace Master Bath, Garage) Scope of Work Mechanical Page 2 of 2