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BLD2022-0285_Application_3.7.2022_12.42.28_PM_2721462CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1103318 - STERN 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 18311 85TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00776200000400 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 Mitchell A & Gail Stern Number Street Apartment or Suite Number 18311 85TH 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: 3/7/2022 Submitted By: Brian Lee Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1103318 - STERN 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 Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: STERN Description of Work: Installing a gas fireplace insert / air -conditioner / ductless air-conditoner Project Details Heaters Fireplace Insert - Gas HVAC Systems Air Conditioner 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 2 Installing a gas fireplace insert in living room / Air -Conditioner back of house and garage / Ductless Air -Conditioner side of house and wine -cellar Page 2 of 2