Application_BLD2022-1400CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1215489
Applicant
First Name Last Name
Braxten Tacbian
Company Name
1st Response Heating & Air Solutions LLC
Number Street
1731 113th Dr SE
Apartment or Suite Number E-mail Address
info@lstresponsehvac.com
City State Zip
Lake Stevens WA 98258
Phone Number Extension
(206) 643-1525
Contractor
Company Name
1ST RESPONSE HTG/AIR SLTNS LLC
Number Street
1731 113th Dr SE
Apartment or Suite Number
City State Zip
Lake Stevens WA 98258
Phone Number Extension
(206) 643-1525
State License Number License Expiration Date
1STRERH850P3 10/24/2023
UBI # E-mail Address
F;ni_c,_r,7779 John@1stresponsehvac.com
Project Location
Number Street
21318 93RD PL W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00781600000400
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
David R & Karen E Ttee Bhaskar
Number Street
21318 93RD PL W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020-3300
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: 10/13/2022 Submitted By: Braxten Tacbian
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1215489
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)
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