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BLD2023-0011_Application_1.4.2023_8.57.20_AM_3296221CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1248727 - Hvac Applicant First Name Last Name Company Name John Archer The Heat and AC Guys INC Number Street Apartment or Suite Number E-mail Address 5016 208th St SW john@theheatandacguys.com City State Zip Phone Number Extension Lynnwood WA 98036 (205) 251-9146 Contractor Company Name THE HEAT AND AC GUYS INC Number Street Apartment or Suite Number 22526 44Th Ave W City State Zip Phone Number Extension MOUNTLAKE WA 98043 (425) 582-7200 (206) 251-9146 State License Number License Expiration Date UBI # E-mail Address HEATAHA842PD 10/5/2024 Rum yi1 n john@theheatandacguys.com Project Location Number Street Floor Number Suite or Room Number 22605 98TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00450701000001 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 Laurence G Harris Number Street Apartment or Suite Number 430 12TH PL N 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. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 1/4/2023 Submitted By: John Archer Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1248727 - Hvac Project Contact Company Name: INC Heat and AC Guys Name: John Archer Address: 5016 208th St SW Lynnwood WA 98036 Project Type Single Family Residential Email: john@theheatandacguys.comi Phone #: (206) 251-9146 Activity Type Scope of Work Alteration Mechanical Project Name: Hvac Description of Work: Installation of heat pump and ducting Project Details HVAC Systems Furnace Heat Pump Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 2 1 Whole house HVAC retrofit system Page 2 of 2