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BLD2022-0295_Application_3.8.2022_2.15.12_PM_2725130CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1104280 - Gail Jackson Applicant First Name Last Name Company Name Braxten Tacbian 1st Response Heating & Air Solutions LLC Number Street Apartment or Suite Number E-mail Address 1731 113th Dr SE info@lstresponsehvac.com City State Zip Phone Number Extension Lake Stevens WA 98258 2066431525 Contractor Company Name 1ST RESPONSE HTG/AIR SLTNS LLC Number Street Apartment or Suite Number 1731 113TH DR SE City State Zip Phone Number Extension Lake Stevens WA 98258 (206) 643-1525 State License Number License Expiration Date UBI # E-mail Address 1STRERH850P3 10/24/2023 F;ni_c,_r,7779 info@1stresponsehvac.com Project Location Number Street Floor Number Suite or Room Number 18709 88TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00434600001604 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 John & Gail Jackson Number Street Apartment or Suite Number 7522 S TONGASS HW City State Zip KETCH ICAN AK 99901 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: 3/8/2022 Submitted By: Braxten Tacbian Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1104280 - Gail Jackson Project Contact Company Name: 1st Response Heating & Air Solutions LLC Name: Braxten Tacbian Email: info@1stresponsehvac.com Address: 1731 113th Dr SE Phone #: 2066431525 Lake Stevens WA 98258 Project Type Activity Type Single Family Residential Repair or Replacement Scope of Work Mechanical Project Name: Gail Jackson Description of Work: We are installing a Mitsubishi mini split heat pump with an air handler and (2) wall units Project Details HVAC Systems Air Handler 10,001 CFM or more Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 Condenser to be placed in the backyard, the air handler will be placed in the living room, (1) wall unit to be placed in the living room, (1) wall unit to be placed in the bedroom Page 2 of 2