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BLD2021-1559_Application_11.16.2021_10.53.06_AM_2522566CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1050552 - HIGGINS Applicant First Name Last Name Company Name MIRIAM CHAVEZ GS HEATING AND COOLING LLC Number Street Apartment or Suite Number E-mail Address 3409 everett ave INSTALL@GSHEATING.COM City State Zip Phone Number Extension EVERETT WA 98201 4252524402 Contractor Company Name GS HEATING AND COOLING LLC Number Street Apartment or Suite Number 3409 EVERETT AVE City State Zip Phone Number Extension EVERETT WA 98201 (360) 794-7306 State License Number License Expiration Date UBI # E-mail Address GSHEAHC821QR 11/19/2022 RuiiA.177 INSTALL@GSHEATING.COM Project Location Number Street Floor Number Suite or Room Number 9706 CHERRY ST City Zip Code County Parcel Number EDMONDS 98020 27031300407100 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 Gavin N & Patricia L Higgins Number Street Apartment or Suite Number 9706 CHERRY ST 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: 11/16/2021 Submitted By: MIRIAM CHAVEZ Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1050552 - HIGGINS Project Contact Company Name: GS HEATING AND COOLING LLC Name: MIRIAM CHAVEZ Address: 3409 everett ave EVERETT WA 98201 Project Type Single Family Residential Email: INSTALL@GSHEATING.COM Phone #: 4252524402 Project Name: HIGGINS Description of Work: FURNACE AND AC Project Details Activity Type Scope of Work Alteration Mechanical HVAC Systems Air Conditioner Furnace Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 GAS FURNACE REPLACEMENT AND AC ADD ON Page 2 of 2