BLD2022-0720_Application_6.1.2022_4.00.35_PM_2905525CITY OF EDMONDS MyBuildingPermitxom
Mechanical Application #1151995 - Johnston
Applicant
First Name Last Name Company Name
Brad Hanshaw FROG HVAC LLC
Number Street Apartment or Suite Number E-mail Address
3731 257th St NE brad@froghvac.com
City State Zip Phone Number Extension
Arlington WA 98223 (425) 359-7988
Contractor
Company Name
FROG HVAC LLC
Number Street Apartment or Suite Number
3731 257th st ne
City State Zip Phone Number Extension
Arlington WA 98223 (425) 359-7988
State License Number License Expiration Date UBI # E-mail Address
FROGHHL870P9 10/29/2023 FD:3V171 B.'l brad@froghvac.com
Project Location
Number Street Floor Number Suite or Room Number
637 MAPLE ST
City Zip Code County Parcel Number
EDMONDS 98020 00434209602700
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
Jean C Johnston
Number Street Apartment or Suite Number
637 MAPLE ST
City State Zip
EDMONDS WA 98020
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: 6/1/2022 Submitted By: Brad Hanshaw
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1151995 - Johnston
Project Contact
Company Name: FROG HVAC LLC
Name: Brad Hanshaw Email: brad@froghvac.com
Address: 3731 257th St NE Phone #: (425) 359-7988
Arlington WA 98223
Project Type Activity Type
Single Family Residential Repair or Replacement
Project Name: Johnston
Description of Work: Like for like replacement gas furnace with ac
Project Details
HVAC Systems
Air Conditioner
Furnace
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1
1
Scope of Work
Mechanical
Garage, north side of home.
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