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BLD2022-0416_Application_3.31.2022_10.16.36_AM_2772809CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1116928 - mechanical -Thomas 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 22702 98TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00450700700005 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 Tiffany I & Cayton D Thomas Number Street Apartment or Suite Number 22702 98TH AVE 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: 3/31/2022 Submitted By: Valura Brashears Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1116928 - mechanical -Thomas 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 Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: mechanical -Thomas Description of Work: installation of AC in the back yard Project Details HVAC Systems Air Conditioner 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, exterior of home Master Bath, Garage) Page 2 of 2