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BLD2022-0813_Application_6.22.2022_12.06.13_PM_2947739CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1162822 - MECH PERMIT Applicant First Name Last Name Company Name PERMIT COORDINATOR Blue Flame Htg Air & Electric Number Street Apartment or Suite Number E-mail Address 7116 220TH ST SW SUITE 1 INFO@BLUEFLAMECOMFORT.COM City State Zip Phone Number Extension MOUNTLAKE WA 98043 (425) 771-7139 Contractor Company Name RESCUE ROOTER Number Street Apartment or Suite Number 965 Ridge Lake Blvd Suite 201 City State Zip Phone Number Extension Memphis TN 38120 (253) 872-5330 (253) 872-4902 State License Number License Expiration Date UBI # E-mail Address BLUEFFH825RM 12/31/2022 FD1 9'17g4q INFO@BLUEFLAMECOMFORT.COM Project Location Number Street Floor Number Suite or Room Number 24221 89TH PL W City Zip Code County Parcel Number EDMONDS 98026 00511700000600 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 Lazaro Giselle De Sam Number Street Apartment or Suite Number 24221 89TH PL W 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: 6/22/2022 Submitted By: PERMIT COORDINATOR Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1162822 - MECH PERMIT Project Contact Company Blue Flame Htg Air & Electric Name: Name: PERMIT COORDINATOR Email: INFO@BLUEFLAMECOMFORT.COM Address: 7116 220TH ST SW SUITE 1 Phone #: (425) 771-7139 MOUNTLAKE TERRACE WA 98043 Project Type Single Family Residential Project Name: MECH PERMIT Description of Work: HP ADD Project Details Activity Type Repair or Replacement HVAC Systems Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 EXTERIOR -HP ADD Scope of Work Mechanical Page 2 of 2