Application_1241560CITY OF EDMONDS MyBuildingPermitxom
Mechanical Application #1241560
Applicant
First Name Last Name
Brad Hanshaw
Company Name
FROG HVAC LLC
Number Street
3731 257th St NE
Apartment or Suite Number E-mail Address
brad@froghvac.com
City State Zip
Arlington WA 98223
Phone Number Extension
(425) 359-7988
Contractor
Company Name
FROG HVAC LLC
Number Street
3731 257th Street Northeast
Apartment or Suite Number
City State Zip
Arlington WA 98223
Phone Number Extension
4253597988
State License Number License Expiration Date
FROGHHL870P9 10/29/2023
UBI # E-mail Address
FD:3V171 B� brad@froghvac.com
Project Location
Number Street
19637 80TH PL W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00506400000900
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
John Wesley & Sara Lang
Number Street
19637 80TH PL W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026-6404
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: Brad Hanshaw
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CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1241560
Project Type
Single Family Residential
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Work Location
Activity Type
Repair or Replacement
Work Description/Location (example: 1 st floor, north side of home
Master Bath, Garage)
Scope of Work
Mechanical
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