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BLD2022-0695_Application_5.26.2022_12.36.02_PM_2895005CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1149140 - Nielson Four LLC Applicant First Name Last Name Company Name AFFORDABLE INC Affordable Heating & Cooling Inc. Number Street Apartment or Suite Number E-mail Address 3515 99th Dr. S.E. chuck@affordableheatingandcoolinginc.co City State Zip Phone Number Extension LAKE STEVENS WA 98258 (425) 334-8900 Contractor Company Name AFFORDABLE HEATING/COOLING INC Number Street Apartment or Suite Number 3515 99th Dr. S.E. City State Zip Phone Number Extension Lake Stevens WA 98258 (425) 334-8900 State License Number License Expiration Date UBI # E-mail Address AFFORHI91OKE 6/11/2023 RDgg1gR14 chuck@affordableheatingandcoolinginc.co Project Location Number Street Floor Number Suite or Room Number 608 SUNSET AVE 612 City Zip Code County Parcel Number EDMONDS 98020 00520100000200 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 *Cris NIELSEN4 LLC Number Street Apartment or Suite Number 5506 SIXTH AVE S 210 City State Zip SEATTLE WA 98108 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: 5/26/2022 Submitted By: AFFORDABLE INC Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1149140 - Nielson Four LLC Project Contact Company Affordable Heating & Name: Cooling Inc. Name: AFFORDABLE INC Address: 3515 99th Dr. S.E. LAKE STEVENS WA 98258 Project Type Multifamily Residential Email: chuck@affordableheatingandcoolinginc.com Phone #: (425) 334-8900 Activity Type Repair or Replacement Project Name: Nielson Four LLC Description of Work: Replace the electric furnace with a heat pump system . Project Details HVAC Systems HVAC - Exterior Ground Mounted 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 Heat pump outdoor unit on the North side of building Page 2 of 2