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BLD2021-1579_Application_11.18.2021_3.38.19_PM_2528479CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1052413 - Forrest & Woodford Applicant First Name Last Name Company Name Diarra Diop BelRed Energy Solutions Number Street Apartment or Suite Number E-mail Address 10733 47th PL W permits@belred.com City State Zip Phone Number Extension Mukilteo WA 98275 4254935353 Contractor Company Name BEL-RED ENERGY SOLUTIONS LLC Number Street Apartment or Suite Number 10733 47TH PL WEST City State Zip Phone Number Extension Mukilteo WA 98275 4254935353 State License Number License Expiration Date UBI # E-mail Address BELREES8880E 9/11/2022 FD3D74DD1 permits@belred.com Project Location Number Street Floor Number Suite or Room Number 20421 86TH PL W City Zip Code County Parcel Number EDMONDS 98026 00544600001601 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 Benjamin & Woodford Thomas Terry Forrest Number Street Apartment or Suite Number 20421 86TH PL W City State Zip EDMONDS WA 98026 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: 11/18/2021 Submitted By: Diarra Diop Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1052413 - Forrest & Woodford Project Contact Company Name: BelRed Energy Solutions Name: Diarra Diop Email: permits@belred.com Address: 10733 47th PL W Phone #: 4254935353 Mukilteo WA 98275 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: Forrest & Woodford Description of Work: Heat pump addition 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: 1 st floor, Closet and outside Master Bath, Garage) Page 2 of 2