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BLD2022-0917_Application_7.12.2022_5.06.36_PM_2985299CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1172248 - Hartman add ac 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 411 3RD AVE N City Zip Code County Parcel Number EDMONDS 98020 00592200001700 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 Taylor & Andrea Hartman Number Street Apartment or Suite Number 411 3RD AVE N City State Zip EDMONDS WA 98020-3111 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: 7/12/2022 Submitted By: AFFORDABLE INC Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1172248 - Hartman add ac Project Contact Company Affordable Heating & Name: Cooling Inc. Name: AFFORDABLE INC Address: 3515 99th Dr. S.E. LAKE STEVENS WA 98258 Project Type Single Family Residential Email: chuck@affordableheatingandcoolinginc.com Phone #: (425) 334-8900 Activity Type Scope of Work Alteration Mechanical Project Name: Hartman add ac Description of Work: Add A/C to the existing furnace Project Details HVAC Systems Heat Pump 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 South West back corner of the home , not the carport , Page 2 of 2