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BLD2022-0488_Application_4.18.2022_3.06.06_PM_2809621CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1126393 - LUCAS 019969 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 7315 180TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00473700003600 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 Timothy I & Kathleen M Lucas Number Street Apartment or Suite Number 7315 180TH ST SW 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: 4/18/2022 Submitted By: dawn Weimer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1126393 - LUCAS 019969 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: LUCAS 019969 Description of Work: FURNACE AND AC CHANGE OUT Project Details HVAC Systems Air Conditioner Furnace Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 1 Scope of Work Mechanical FURNACE AND AC CHANGE OUT Page 2 of 2