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BLD2022-0352_Application_3.22.2022_10.31.05_AM_2752700CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1111753 - Mechanical Ketchum Applicant First Name Last Name Company Name Valura Brashears Lifetime Heating & Air Conditioning Number Street Apartment or Suite Number E-mail Address 2801 Bickford Ave. Suite 103-148 valurab@lifetimeheating.com City State Zip Phone Number Extension Snohomish WA 98290 4255534328 Contractor Company Name LIFETIME HEATING & AIR CNDTNG Number Street Apartment or Suite Number 5413 PANTHER LAKE RD City State Zip Phone Number Extension SNOHOMISH WA 98290 (425)359-5687 State License Number License Expiration Date UBI # E-mail Address LIFETHA8201_8 6/28/2022 BD4D54gBR valurab@lifetimeheating.com Project Location Number Street Floor Number Suite or Room Number 9821 228TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00536500001400 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 Travis & Katie E Ketchum Number Street Apartment or Suite Number 9821 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: 3/22/2022 Submitted By: Valura Brashears Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1111753 - Mechanical Ketchum Project Contact Company Name: Lifetime Heating & Air Conditioning Name: Valura Brashears Email: valurab@lifetimeheating.com Address: 2801 Bickford Ave. Suite Phone #: 4255534328 103-148 Snohomish WA 98290 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Mechanical Ketchum Description of Work: Installation of air handler and heat pump Project Details HVAC Systems Air Handler 10,000 CFM or less Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 Basement closet and exterior of the home Page 2 of 2