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Application_1070914CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1070914 Applicant First Name Last Name PERMIT COORDINATOR Company Name Blue Flame Htg Air & Electric Number Street 7116 220TH ST SW Apartment or Suite Number E-mail Address SUITE 1 INFO@BLUEFLAMECOMFORT.COM City State Zip MOUNTLAKE WA 98043 Phone Number Extension 4257717139 Contractor Company Name BLUE FLAME HTG AIR & ELECTRIC Number Street 965 Ridge Lake Blvd Apartment or Suite Number Suite 201 City State Zip Memphis TN 38120 Phone Number Extension (253) 872-5330 (253) 872-4902 State License Number License Expiration Date BLUEFFH825RM 12/31/2022 UBI # E-mail Address FD1 9'17g4q INFO@BLUEFLAMECOMFORT.COM Project Location Number Street 20001 81 ST AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00431200002302 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 Dany Ramos & Rosales Maria H L Magana Number Street 20001 81 ST AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 1/3/2022 Submitted By: PERMIT COORDINATOR Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1070914 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace 1 Work Location Work Description/Location (example: 1st floor, LIKE AND LIKE FURNACE SWAP Master Bath, Garage) Page 2 of 2