BLD2021-1566_Application_11.17.2021_12.52.19_PM_2525329CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1051395 - Kothari Install
Applicant
First Name Last Name Company Name
Pilchuck Heating LLC PILCHUCK HEATING LLC
Number Street Apartment or Suite Number E-mail Address
1429 Ave D 224 pilchuckheating@pilchuckheating.com
City State Zip Phone Number Extension
Snohomish WA 98290 4255850659
Contractor
Company Name
PILCHUCK HEATING LLC
Number Street Apartment or Suite Number
1429 Avenue D 224
City State Zip Phone Number Extension
SNOHOMISH WA 98290 (425) 585-0659
State License Number License Expiration Date UBI # E-mail Address
PILCHHL823LN 6/15/2022 F;n4gri7(»ft pilchuckheating@pilchuckheating.com
Project Location
Number Street Floor Number Suite or Room Number
20504 81 ST AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00614400000400
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
Pervin & Shashank Kalokhe
Number Street Apartment or Suite Number
8209 FREDRICK PL
City State Zip
EDMONDS WA 98020
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: 11/17/2021 Submitted By: Pilchuck Heating LLC
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CITY OF EDMONDS M BuildingPermit.com
Mechanical Application #1051395 - Kothari Install
Project Contact
Company Name: PLC ILCHUCK HEATING
Name: Pilchuck Heating LLC Email: pilchuckheating@pilchuckheating.com
Address: 1429 Ave D 224 Phone #: 4255850659
Snohomish WA 98290
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Name: Kothari Install
Description of Work: Replace existing mini split system with new mini split system
Project Details
HVAC Systems
Heat Pump 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Unit hung on side of home
Master Bath, Garage)
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