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BLD2022-0370_Application_3.24.2022_9.33.39_AM_2758406CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1113179 - MORTS 024689 Applicant First Name Last Name Company Name dawn weimer GS HEATING AND COOLING LLC Number Street Apartment or Suite Number E-mail Address 3409 everett ave INSTALL@GSHEATING.COM City State Zip Phone Number Extension EVERETT WA 98201 4252524402 Contractor Company Name GS HEATING AND COOLING LLC Number Street Apartment or Suite Number 3409 EVERETT AVE City State Zip Phone Number Extension EVERETT WA 98201 (360) 794-7306 State License Number License Expiration Date UBI # E-mail Address GSHEAHC821QR 11/19/2022 RuiiA.177 INSTALL@GSHEATING.COM Project Location Number Street Floor Number Suite or Room Number 1034 B AVE City Zip Code County Parcel Number EDMONDS 98020 00619400400301 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 David & Jennifer M Morts Number Street Apartment or Suite Number 1034 B AVE S City State Zip EDMONDS WA 98020 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: 3/24/2022 Submitted By: dawn weimer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1113179 - MORTS 024689 Project Contact Company Name: GS HEATING AND COOLING LLC Name: dawn weimer Address: 3409 everett ave EVERETT WA 98201 Project Type Single Family Residential Email: INSTALL@GSHEATING.COM Phone #: 4252524402 Activity Type Repair or Replacement Project Name: MORTS 024689 Description of Work: DUCTLESS HP ADD Project Details HVAC Systems Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 ductless hp add Scope of Work Mechanical Page 2 of 2