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BLD2022-0035_Application_1.12.2022_11.48.52_AM_2617070CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1075637 - STEEN Applicant First Name Last Name Company Name Brian Lee Sundance Energy Services Inc Number Street Apartment or Suite Number E-mail Address 10228 Main Street brianl@sundanceenergy.com City State Zip Phone Number Extension Bothell WA 98011 4254819660 Contractor Company Name Sundance Energy Services Inc Number Street Apartment or Suite Number 10228 Main Street City State Zip Phone Number Extension Bothell WA 98011 (425) 481-9660 State License Number License Expiration Date UBI # E-mail Address SUNDAES063J9 9/13/2023 BD15416:37 kevinl@sundanceenergy.com Project Location Number Street Floor Number Suite or Room Number 9806 228TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00536500000900 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 Erik P & Melinda J Steen Number Street Apartment or Suite Number 9806 228TH PL SW City State Zip EDMONDS WA 98020-5949 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: 1/12/2022 Submitted By: Brian Lee Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1075637 - STEEN Project Contact Company Name: Inc dance Energy Services Name: Brian Lee Email: brianl@sundanceenergy.com Address: 10228 Main Street Phone #: 4254819660 Bothell WA 98011 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: STEEN Description of Work: Replacing gas furnace and adding an air -conditioner / Installing a new gas fireplace insert -Including 1 Oft of gas piping Project Details Appliances and Equipment Gas Piping Outlets - Mech Heaters Fireplace Insert - Gas 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 1 1 Replacing gas furnace in mechanical closet and adding an air -conditioner on back side of house/ Installing a new gas fireplace insert in living room - including 1 Oft of gas piping Page 2 of 2