Application_1191100CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1191100
Applicant
First Name Last Name
Tori Heilman
Company Name
Cardinal Heating and Air
Number Street
13649 NE 126th PI
Apartment or Suite Number E-mail Address
Suite 101 torih@cardinalheating.com
City State Zip
Kirkland WA 98034
Phone Number Extension
(425) 827-9997 145
Contractor
Company Name
CARDINAL HEATING & AIR
Number Street
13649 NE 126th PL
Apartment or Suite Number
101
City State Zip
Kirkland WA 98034
Phone Number Extension
(425) 827-9997
State License Number License Expiration Date
CARDIHA823MU 7/31/2024
UBI # E-mail Address
SD15P.171 R torih@cardinalheating.com
Project Location
Number Street
9715 241 ST PL SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00450200000100
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
Charles & Geiger Lisa F Shifren
Number Street
9715 241 ST PL SW
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020-6512
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and
correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By
submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above
may result in revocation of the permit.
Date Submitted: 8/22/2022 Submitted By: Tori Heilman
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CITY OF EDMONDS MyBuitdingPermit.com
Mechanical Application #1191100
Project Type
Single Family Residential
Project Details
HVAC Systems
Activity Type
Repair or Replacement
Furnace 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Other
Scope of Work
Mechanical
thermostat 1
Work Location
Work Description/Location (example: 1st floor, Replace furnace in mechanical room
Master Bath, Garage)
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