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BLD2022-0739_Application_6.6.2022_3.53.08_PM_2915175CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1154372 - Sabina Howell Applicant First Name Last Name Company Name Braxten Tacbian 1st Response Heating & Air Solutions LLC Number Street Apartment or Suite Number E-mail Address 1731 113th Dr SE info@lstresponsehvac.com City State Zip Phone Number Extension Lake Stevens WA 98258 (206) 643-1525 Contractor Company Name 1ST RESPONSE HTG/AIR SLTNS LLC Number Street Apartment or Suite Number 1731 113th Dr SE City State Zip Phone Number Extension Lake Stevens WA 98258 (206) 643-1525 State License Number License Expiration Date UBI # E-mail Address 1STRERH850P3 10/24/2023 F;ni_c,_r,7779 info@1stresponsehvac.com Project Location Number Street Floor Number Suite or Room Number 525 MAGNOLIA LN City Zip Code County Parcel Number EDMONDS 98020 27032500203800 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 Franz & Howell Sabina Niedermeyer Number Street Apartment or Suite Number 525 MAGNOLIA LANE 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: 6/6/2022 Submitted By: Braxten Tacbian Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1154372 - Sabina Howell Project Contact Company Name: 1st Response Heating & Air Solutions LLC Name: Braxten Tacbian Email: info@1stresponsehvac.com Address: 1731 113th Dr SE Phone #: (206) 643-1525 Lake Stevens WA 98258 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Name: Sabina Howell Description of Work: We are installing a Mitsubishi 24k BTU Mini Split Heat Pump Project Details HVAC Systems Heat Pump 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, 24K BTU outdoor heat pump will be installed on the Master Bath, Garage) west side of the home and the indoor wall unit will be mounted in the living/dining room area. Page 2 of 2