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BLD2022-1372_Application_10.10.2022_11.09.46_AM_3155047CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1213672 - Dery Applicant First Name Last Name Company Name Bekah Swanson SeaTown Electric Plumbing Heating and Air Number Street Apartment or Suite Number E-mail Address 4200 78th St SW PERMITS@seatownservices.com City State Zip Phone Number Extension Mukilteo WA 98275 (425) 270-1623 Contractor Company Name SEATOWN ELECTRIC HEATING & AIR Number Street Apartment or Suite Number 4200 78th St SW City State Zip Phone Number Extension Mukilteo WA 98275 4252701623 State License Number License Expiration Date UBI # E-mail Address SEATOEH821 DG 3/7/2024 FD:3447R94 permits@seatownservices.com Project Location Number Street Floor Number Suite or Room Number 22121 95TH PL W City Zip Code County Parcel Number EDMONDS 98020 00544200200600 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 James & Catherine Dery Number Street Apartment or Suite Number 22121 95TH PL W City State Zip EDMONDS WA 98020 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: 10/10/2022 Submitted By: Bekah Swanson Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1213672 - Dery Project Contact Company Name: SeaTown Electric Plumbing Heating and Air Name: Bekah Swanson Email: PERMITS@seatownservices.com Address: 4200 78th St SW Phone #: (425) 270-1623 Mukilteo WA 98275 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Dery Description of Work: Gas Furnace Replacement, New 30,000 BTU Heat Pump in backyard alcove Project Details HVAC Systems Furnace 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 1 Interior, Exterior in backyard, covered alcove Page 2 of 2