Application_BLD2022-1199CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1199710
Applicant
First Name Last Name Company Name
Randall Pursel Olympic Heating Inc
Number Street Apartment or Suite Number E-mail Address
23631 Edmonds Way olyheat@hotmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 670-3900 2063628039
Contractor
Company Name
Olympic Heating Inc
Number Street Apartment or Suite Number
23631 Edmonds Way
City State Zip Phone Number Extension
Edmonds WA 98026 2063623900 2063628039
State License Number License Expiration Date UBI # E-mail Address
olymphi95207 11/11/2023 RD95DR54� olyheat@hotmail.com
Project Location
Number Street Floor Number Suite or Room Number
234 4TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 00434400200701
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
Robert B Vantassell
Number Street Apartment or Suite Number
234 4TH AVE N
City State Zip
EDMONDS WA 98020-3116
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: 9/9/2022 Submitted By: Randall Pursel
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1199710
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
HVAC Systems
Furnace 1
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Basement
Master Bath, Garage)
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