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Application_1127135CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1127135 Applicant First Name Last Name Company Name PERMIT COORDINATOR Blue Flame Htg Air & Electric Number Street Apartment or Suite Number E-mail Address 7116 220TH ST SW SUITE 1 INFO@BLUEFLAMECOMFORT.COM City State Zip Phone Number Extension MOUNTLAKE WA 98043 4257717139 Contractor Company Name RESCUE ROOTER Number Street Apartment or Suite Number 965 Ridge Lake Blvd Suite 201 City State Zip Phone Number Extension Memphis TN 38120 (253) 872-5330 (253) 872-4902 State License Number License Expiration Date UBI # E-mail Address BLUEFFH825RM 12/31/2022 FD1 9'17g4q INFO@BLUEFLAMECOMFORT.COM Project Location Number Street Floor Number Suite or Room Number 20727 81 ST AVE W City Zip Code County Parcel Number EDMONDS 98026 00414000000900 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 Musa & Bourne Hannah AI-Tamimi Number Street Apartment or Suite Number 20727 81 ST 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, 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: PERMIT COORDINATOR Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1127135 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Scope of Work Mechanical Work Description/Location (example: 1st floor, INTERIOR -LIKE AND LIKE FURNACE SWAP Master Bath, Garage) Page 2 of 2