BLD2022-1173_Application_9.1.2022_12.26.02_PM_3086006CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1196437 - JACKSON
Applicant
First Name Last Name Company Name
Brian Lee Sundance Energy Services Inc
Number Street Apartment or Suite Number E-mail Address
10228 Main Street brianl@sundanceenergy.com
City State Zip Phone Number Extension
Bothell WA 98011 (425) 481-9660
Contractor
Company Name
Sundance Energy Services Inc
Number Street Apartment or Suite Number
10228 Main Street
City State Zip Phone Number Extension
Bothell WA 98011 (425) 481-9660
State License Number License Expiration Date UBI # E-mail Address
SUNDAES063J9 9/13/2023 BD15416:37 kevinl@sundanceenergy.com
Project Location
Number Street Floor Number Suite or Room Number
19301 89TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00640100000400
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
Maureen D Jackson
Number Street Apartment or Suite Number
19301 89TH PL W
City State Zip
EDMONDS WA 98026
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: 9/1/2022 Submitted By: Brian Lee
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1196437 - JACKSON
Project Contact
Company Name: Inc dance Energy Services
Name: Brian Lee Email: brianl@sundanceenergy.com
Address: 10228 Main Street Phone #: (425) 481-9660
Bothell WA 98011
Project Type
Single Family Residential
Activity Type Scope of Work
Alteration Mechanical
Project Name: JACKSON
Description of Work: Installing a new air -conditioner
Project Details
HVAC Systems
Air Conditioner
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
Installing a new air -conditioner at rear exterior of house
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