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BLD2022-1393_Application_10.12.2022_8.39.50_AM_3159580CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1214878 - Sandner ductless Applicant First Name Last Name Company Name Jeana Brennan Paragon Heating and Home Comfort Solutions Number Street Apartment or Suite Number E-mail Address PO Box 798 info@paragonheating.com City State Zip Phone Number Extension Marysville WA 98270 (360) 658-9500 Contractor Company Name Paragon Htg/Hm Cmft Sltns LLC Number Street Apartment or Suite Number PO Box 798 City State Zip Phone Number Extension Marysville WA 98270 3606589500 State License Number License Expiration Date UBI # E-mail Address PARAGHC8632A 5/1/2024 F;ni ig556q info@paragonheating.com Project Location Number Street Floor Number Suite or Room Number 24115 101 ST AVE W City Zip Code County Parcel Number EDMONDS 98020 00555000002300 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 Brian Sandner Number Street Apartment or Suite Number 24115 101 ST AVE 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: 10/12/2022 Submitted By: Jeana Brennan Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1214878 - Sandner ductless Project Contact Company Name: Paragon Heating and Home Comfort Solutions Name: Jeana Brennan Email: info@paragonheating.com Address: PO Box 798 Phone #: (360) 658-9500 Marysville WA 98270 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: Sandner ductless Description of Work: Replace ductless heat pump like and kind. Project Details HVAC Systems 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 Scope of Work Mechanical Master bedroom and outside on ground. Page 2 of 2