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Application_1271865CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1271865 Applicant First Name Last Name John MacDonald Company Name Olympic Mechanical, Inc. Number Street 21718 66th AVE W Apartment or Suite Number E-mail Address Suite 207 john@olympicmechanical.com City State Zip Mountlake Terrace WA 98043 Phone Number Extension (425) 774-8841 Contractor Company Name OLYMPIC MECHANICAL INC Number Street 21718 66th AVE W Apartment or Suite Number Suite 207 City State Zip Mountlake Terrace WA 98043 Phone Number Extension (425) 774-8841 State License Number License Expiration Date OLYMPMI17001 2/16/2024 UBI # E-mail Address Rnn5nngsg john@olympicmechanical.com Project Location Number Street 9624 236TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00446400200300 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 James & Gail Buzitis Number Street 9624 236TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98020-5639 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: 2/21/2023 Submitted By: John MacDonald Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1271865 Project Type Single Family Residential Project Details HVAC Systems Furnace Associated Building Permit? Activity Type Repair or Replacement There is no other onsite work that requires a building permit. Work Location Scope of Work Mechanical Work Description/Location (example: 1 st floor, Remove existing 80% efficient natural gas furnace with Master Bath, Garage) a 95 /o efficient gas furnace. The mechanical room is located in a mechanical room of main floor Page 2 of 2