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BLD2022-0500_Application_4.21.2022_9.56.12_AM_2818174CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1129165 - Bergquist Applicant First Name Last Name Company Name karl christensen LEGACY ONE HEATING LLC Number Street Apartment or Suite Number E-mail Address 4403 Russell Rd 110 office@legacyoneheating.net City State Zip Phone Number Extension Mukilteo WA 98275 4253747052 Contractor Company Name LEGACY ONE HEATING LLC Number Street Apartment or Suite Number 4403 Russell Rd #110 City State Zip Phone Number Extension Mukilteo WA 98275 4253747052 State License Number License Expiration Date UBI # E-mail Address LEGACOH8451_3 6/23/2022 FD4DDFDBq office@legacyoneheating.net Project Location Number Street Floor Number Suite or Room Number 8815 216TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00373600600104 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 Jason F Bergquist Number Street Apartment or Suite Number 8815 216TH ST SW City State Zip EDMONDS WA 98026-7844 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: 4/21/2022 Submitted By: kart christensen Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1129165 - Bergquist Project Contact Company Name: LEGACY ONE HEATING Name: karl christensen Email: office@legacyoneheating.net Address: 4403 Russell Rd 110 Phone #: 4253747052 Mukilteo WA 98275 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: Bergquist Description of Work: We will be installing 3-ton 14-SEER Coleman A/C Project Details HVAC Systems Air Conditioner Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Scope of Work Mechanical east side of the house next to the garage Page 2 of 2