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BLD2021-1468_Application_10.26.2021_10.26.05_AM_2483180CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1040384 - Lester Applicant First Name Last Name Company Name Russell Reed CoolHeat365 LLC Number Street Apartment or Suite Number E-mail Address 9204 176th St NW princesstracy69@gmail.com City State Zip Phone Number Extension Stanwood WA 98292 (360)654-1717 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 360-654-1717 State License Number License Expiration Date UBI # E-mail Address COOLHH382405 9/25/2022 BB4959177 princesstracy69@gmail.com Project Location Number Street Floor Number Suite or Room Number 21905 80TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00461000201102 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 V B Lester Number Street Apartment or Suite Number 21905 80TH AVE W City State Zip EDMONDS WA 98026-7803 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: 10/26/2021 Submitted By: Russell Reed Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1040384 - Lester Project Contact Company Name: CoolHeat365 LLC Name: Russell Reed Address: 9204 176th St NW Stanwood WA 98292 Project Type Single Family Residential Email: princesstracy69@gmail.com Phone #: (360)654-1717 Activity Type Scope of Work Alteration Mechanical Project Name: Lester Description of Work: Install Heat Pump on side of house 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