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Application_BLD2022-1665CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1239934 Applicant First Name Last Name Company Name Karen Matheney Washington Energy Services Company, LLC Number Street Apartment or Suite Number E-mail Address 3909 196th St SW permits@washingtonenergy.com City State Zip Phone Number Extension Lynnwood WA 98036 (206) 378-6648 Contractor Company Name WASHINGTON ENERGY SVCS CO LLC Number Street Apartment or Suite Number 3909 196th St SW City State Zip Phone Number Extension Lynnwood WA 98036 (206) 378-6648 State License Number License Expiration Date UBI # E-mail Address WASHIES851 NS 9/7/2023 Fini.r;97ni9 permits@washingtonenergy.com Project Location Number Street Floor Number Suite or Room Number 1031 EUCLID AVE City Zip Code County Parcel Number EDMONDS 98020 00745500000100 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 WILSON CHRISTIAN & METCALFE EMILY Number Street Apartment or Suite Number 1031 EUCLID AVE City State Zip EDMONDS WA 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: 12/8/2022 Submitted By: Karen Matheney Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1239934 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) Page 2 of 2