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Application_1241218CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1241218 Applicant First Name Michaela Last Name Pollard Company Name King's Heating, Inc. Number Street 18933 HWY 99 Apartment or Suite Number E-mail Address contact@KingsHeating.com City State Lynnwood WA Zip 98036 Phone Number Extension (425) 275-5153 Contractor Company Name KING'S HEATING INC Number Street 18933 Highway 99 Apartment or Suite Number City Lynnwood State Zip WA 98036 Phone Number Extension (425) 275-5153 State License Number KINGSH1044JA License Expiration Date 3/10/2024 UBI # E-mail Address F61 SR95g5 contact@KingsHeating.com Project Location Number Street 17628 TALBOT RD Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00594400003501 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name James & Barbara Last Name or Company Name Sinclair Number Street 17628 TALBOT RD Apartment or Suite Number City EDMONDS State WA Zip 98026-5324 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: 12/12/2022 Submitted By: Michaela Pollard Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1241218 Project Type Activity Type Scope of Work Single Family Residential Repair or Replacement Mechanical Project Details HVAC Systems Furnace 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Interior Master Bath, Garage) Page 2 of 2