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BLD2022-1433_Application_10.18.2022_2.47.34_PM_3171747CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1217741 - Rasmussen Applicant First Name Last Name Company Name Michaela Pollard King's Heating, Inc. Number Street Apartment or Suite Number E-mail Address 18933 HWY 99 contact@KingsHeating.com City State Zip Phone Number Extension Lynnwood WA 98036 (425) 275-5153 Contractor Company Name KING'S HEATING INC Number Street Apartment or Suite Number 18933 Highway 99 City State Zip Phone Number Extension Lynnwood WA 98036 (425) 275-5153 State License Number License Expiration Date UBI # E-mail Address KINGSH1044JA 3/10/2024 FD1 SR95g5 contact@KingsHeating.com Project Location Number Street Floor Number Suite or Room Number 9624 219TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00559700400400 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 Michel Rasmussen Number Street Apartment or Suite Number 9624 219TH ST SW City State Zip EDMONDS WA 98020-3948 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: 10/18/2022 Submitted By: Michaela Pollard Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1217741 - Rasmussen Project Contact Company Name: King's Heating, Inc. Name: Michaela Pollard Email: contact@KingsHeating.com Address: 18933 HWY 99 Phone #: (425) 275-5153 Lynnwood WA 98036 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: Rasmussen Description of Work: Replacing gas furnace like -for -like and adding AC Project Details HVAC Systems Air Conditioner 1 Furnace 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1 st floor, Garage and yard Master Bath, Garage) Scope of Work Mechanical Page 2 of 2