Application_1126827CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1126827
Applicant
First Name Last Name Company Name
Rafael Varela
Number Street Apartment or Suite Number E-mail Address
22701 74th PL W rafavaru@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 4254662876
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
22701 74TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00535100200300
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
Rafael Varela
Number Street Apartment or Suite Number
22701 74TH PL W
City State Zip
EDMONDS WA 98026-8383
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 4/19/2022 Submitted By: Rafael Varela
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1126827
Project Type Activity Type Scope of Work
Single Family Residential New Mechanical
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech 1
HVAC Systems
Furnace 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Main
Master Bath, Garage)
Page 2 of 2