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BLD2022-0230_Application_2.21.2022_12.45.45_PM_2693010CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1096121 -STONE Applicant First Name Last Name Company Name David Vilensky Dvac Heating & Air LLC Number Street Apartment or Suite Number E-mail Address 10116 50th PI W dvacducts@gmail.com City State Zip Phone Number Extension Mukilteo WA 98275 4259080030 Contractor Company Name DVAC HEATING & AIR LLC Number Street Apartment or Suite Number 4516 132ND PL SE APT 301 City State Zip Phone Number Extension MILL CREEK WA 98012 2088169158 State License Number License Expiration Date UBI # E-mail Address DVACHHA821 NB 8/5/2022 Rums154 dvacducts@gmail.com Project Location Number Street Floor Number Suite or Room Number 1003 SPRAGUE ST City Zip Code County Parcel Number EDMONDS 98020 00434204303800 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 Philip E & Pamela S Ttees Stone Number Street Apartment or Suite Number 1003 SPRAGUE ST City State Zip EDMONDS WA 98020-2967 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: 2/21/2022 Submitted By: David Vilensky Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1096121 -STONE Project Contact Company Name: Name: Address: Phil Stone 1003 Sprague St Edmonds WA 98020 Project Type Single Family Residential Email: pstone0103@gmail.com Phone #: 206-399-6155 Activity Type Scope of Work Alteration Mechanical Project Name: STONE Description of Work: INSTALLING AC & FURNACE Project Details 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 INTERIOR & EXTERIOR Page 2 of 2