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Application_1231604CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1231604 Applicant First Name Last Name Company Name Diarra Diop BelRed Heating, Cooling and Plumbing, LLC Number Street Apartment or Suite Number E-mail Address 10733 47TH PL WEST permits@belred.com City State Zip Phone Number Extension Mukilteo WA 98275 (425) 493-5353 Contractor Company Name BELRED HTG COOLG & PLBG LLC Number Street Apartment or Suite Number 10733 47TH PLACE W City State Zip Phone Number Extension MUKILTEO WA 98275 4254935353 State License Number License Expiration Date UBI # E-mail Address BELREHL789CS 2/14/2024 F;usyis.m permits@belred.com Project Location Number Street Floor Number Suite or Room Number 24005 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00488800600901 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 Ken Teruya Hiratsuka Number Street Apartment or Suite Number 24005 76TH AVE W City State Zip EDMONDS WA 98026 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: 11/17/2022 Submitted By: Diarra Diop Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1231604 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: 1st floor, Closet Master Bath, Garage) Page 2 of 2