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BLD2022-1667+Application+12.8.2022_9.14.53_AM+3258530CITY OF EDMONDS Mechanical Application #1236312 - Chung Applicant First Name Last Name JACCI DANIELS MyBuildingPermit.com Company Name WA WATER HTRS, HTNG, & AIR INC Number Street Apartment or Suite Number E-mail Address PO Box 5158 City State Zip KENT WA 98064 Contractor Company Name WA WATER HTRS, HTNG, & AIR INC Number Street 6622 232ND AVE E City State Zip BUCKLEY WA 98321 State License Number License Expiration Date WAWATWH780BO 1 /18/2024 Project Location Number Street 23525 74TH AVE W City Zip Code EDMONDS 98026 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner wawahvac(�D_gmail.com Phone Number Extension (425) 883-4871 Apartment or Suite Number Phone Number Extension (425)883-4871 UBI # E-mail Address 604846080 wawahvac(a)_gmail.com County Parcel Number 27043200200400 Tenant Name Floor Number Suite or Room Number First Name Last Name or Company Name Richard Y S & Holly H Chung Number Street Apartment or Suite Number 23525 74TH AVE W City State Zip EDMONDS WA 98026 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: 12/8/2022 Submitted By: JACCI DANIELS Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Mechanical Application #1236312 - Chung Project Contact Company Name: A WATER HTRS, HTNG, & AIR INC Name: JACCI DANIELS Email: wawahvac@gmail.com Address: PO Box 5158 Phone #: (425) 883-4871 KENT WA 98064 Project Type Activity Type Single Family Residential Repair or Replacement Project Name: Chung Description of Work: Install furnace, and a/c Project Details Appliances and Equipment Gas Piping Outlets - Mech 2 HVAC Systems Air Conditioner 1 Furnace 1 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, basement Master Bath, Garage) Scope of Work Mechanical Page 2 of 2