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Application_2021-1696CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1064980 Applicant First Name Last Name Christen Stempak Company Name Better Air NW Heating & Cool Number Street 12428 Highway 99 Apartment or Suite Number E-mail Address STE 51 Christen@betterairnw.com City State Zip Everett WA 98204 Phone Number Extension 206-898-5743 Contractor Company Name BETTER AIR NW HEATING/CLNG LLC Number Street 12428 HWY 99 Apartment or Suite Number #51 City State Zip EVERETT WA 98204 Phone Number Extension (206) 898-5743 State License Number License Expiration Date BETTEAN813CG 2/7/2023 UBI # E-mail Address FD4'17gg74 meranda@betterairnw.com Project Location Number Street 20707 78TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00481100000800 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 Brook N Moon Number Street 20707 78TH PL W Apartment or Suite Number City State EDMONDS WA Zip 98026-6829 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: 12/15/2021 Submitted By: Christen Stempak Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1064980 Project Type Single Family Residential Project Details HVAC Systems Furnace Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Interior closet Master Bath, Garage) Scope of Work Mechanical Page 2 of 2