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Application_1200901CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1200901 Applicant First Name Last Name Bekah Swanson Company Name SeaTown Electric Plumbing Heating and Air Number Street 4200 78th St SW Apartment or Suite Number E-mail Address PERMITS@seatownservices.com City State Zip Mukilteo WA 98275 Phone Number Extension (425) 270-1623 Contractor Company Name SEATOWN ELECTRIC HEATING & AIR Number Street 3431 Broadway Apartment or Suite Number City State Zip Everett WA 98201 Phone Number Extension (425) 270-1623 State License Number License Expiration Date SEATOEH821 DG 3/7/2024 UBI # E-mail Address FD:3447R94 PERMITS@seatownservices.com Project Location Number Street 21913 84TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27043000102000 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 Luke & Wroe Colleen Lyon Number Street 21913 84TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 9/13/2022 Submitted By: Bekah Swanson Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1200901 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, Garage Master Bath, Garage) Page 2 of 2