Application_1227529CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1227529
Applicant
First Name Last Name
Karen Matheney
Company Name
Washington Energy Services Company, LLC
Number Street
3909 196th St SW
Apartment or Suite Number E-mail Address
permits@washingtonenergy.com
City State Zip
Lynnwood WA 98036
Phone Number Extension
(206) 378-6648
Contractor
Company Name
WASHINGTON ENERGY SVCS CO LLC
Number Street
3909 196th St SW
Apartment or Suite Number
City State Zip
Lynnwood WA 98036
Phone Number Extension
(206) 378-6648
State License Number License Expiration Date
WASHIES851 NS 9/7/2023
UBI # E-mail Address
F;ni..r;99n 9 permits@washingtonenergy.com
Project Location
Number Street
24110 105TH PL W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00564900301300
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
Elizabeth Ford
Number Street
24110 105TH PL W
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: 11/9/2022 Submitted By: Karen Matheney
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1227529
Project Type Activity Type Scope of Work
Single Family Residential Repair or Replacement Mechanical
Project Details
HVAC Systems
Furnace
Work Location
Work Description/Location (example: 1 st floor, 1 st floor
Master Bath, Garage)
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