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Application_BLD2022-1416CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1216932 Applicant First Name Last Name James Colver Company Name Allied Complete Furnace and AC Repair Number Street 18701 60th Ave NE Apartment or Suite Number E-mail Address alliedcompleterepair@yahoo.com City State Zip Kenmore WA 98028 Phone Number Extension (206) 604-0092 Contractor Company Name ALLIED COMPLETE FURNACE/AC RPR Number Street 18701 60th Ave NE Apartment or Suite Number City State Zip Kenmore WA 98028 Phone Number Extension (206) 604-0092 State License Number License Expiration Date ALLI ECF88OCC 2/7/2024 UBI # E-mail Address BD9g4154B alliedcompleterepair@yahoo.com Project Location Number Street 705 CASPERS ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032400215400 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 & Stacy Lebrun Number Street 705 CASPERS ST Apartment or Suite Number City State EDMONDS WA Zip 98020 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: 10/17/2022 Submitted By: James Colver Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1216932 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace 2 Work Location Work Description/Location (example: 1 st floor, basement and storage room Master Bath, Garage) Page 2 of 2