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Application_1221452CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1221452 Applicant First Name Last Name Company Name Jaimie How Brennan Heating & Air Conditioning LLC Number Street Apartment or Suite Number E-mail Address 4601 S 134th PI jaimie@brennanheating.com City State Zip Phone Number Extension SEATTLE WA 98168 (206) 248-7900 Contractor Company Name BRENNAN HEATING & A/C LLC Number Street Apartment or Suite Number 21225 96th Ave W City State Zip Phone Number Extension Edmonds WA 98020 206-407-8552 State License Number License Expiration Date UBI # E-mail Address BRENNHC79500 9/7/2023 FD9�4FR66 jaimie@brennanheating.com Project Location Number Street Floor Number Suite or Room Number 21225 96TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00528100000500 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 D & Smith R & Janssen T & Moen C Burroughs Number Street Apartment or Suite Number 15917 32ND AVE SE City State Zip MILL CREEK WA 98012-8319 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: 10/26/2022 Submitted By: Jaimie How Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #1221452 Project Type Single Family Residential Project Details Fixtures Water Heater - Gas Mechanical Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Plumbing Work Description/Location (example: 1st floor, Replace gas water heater in garage Master Bath, Garage) Page 2 of 2