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Application_BLD2023-0038CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1252235 Applicant First Name Last Name Braxten Tacbian Company Name 1st Response Heating & Air Solutions LLC Number Street 1731 113th Dr SE Apartment or Suite Number E-mail Address info@lstresponsehvac.com City State Zip Lake Stevens WA 98258 Phone Number Extension (206) 643-1525 Contractor Company Name 1ST RESPONSE HTG/AIR SLTNS LLC Number Street 1731 113th Dr SE Apartment or Suite Number City State Zip Lake Stevens WA 98258 Phone Number Extension (206) 643-1525 State License Number License Expiration Date 1STRERH850P3 10/24/2023 UBI # E-mail Address F;ni_c,_r,7779 info@1stresponsehvac.com Project Location Number Street 7314 164TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00461600000800 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 Autumn & Wesley Snow Number Street 23107 100TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 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: 1/10/2023 Submitted By: Braxten Tacbian Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1252235 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Work Description/Location (example: 1st floor, Basement/Utility Room Master Bath, Garage) Scope of Work Mechanical Page 2 of 2