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BLD2023-0375_Application_3.28.2023_1.51.14_PM_3448657CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1290118 - Broucek Applicant First Name Last Name Company Name Lucinda Honeycutt Bobs Heating and Air Conditioning Number Street Apartment or Suite Number E-mail Address 14148 NE 190th St Ihoneycutt@bobsheating.com City State Zip Phone Number Extension Woodinville WA 98072 (800) 840-3346 Contractor Company Name BOB'S HEATING & AIR CNDTNG LLC Number Street Apartment or Suite Number 14148 NE 190th St City State Zip Phone Number Extension Woodinville WA 98072 (800) 840-3346 State License Number License Expiration Date UBI # E-mail Address BOBSHHA853NQ 9/7/2023 BDi597n9R Ihoneycutt@bobsheating.com Project Location Number Street Floor Number Suite or Room Number 527 PINE ST City Zip Code County Parcel Number EDMONDS 98020 27032500212300 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 Brian\ Purdy Christina L Broucek Number Street Apartment or Suite Number 527 PINE ST 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: 3/28/2023 Submitted By: Lucinda Honeycutt Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1290118 - Broucek Project Contact Company Name: Bobs Heating and Air Conditioning Name: Lucinda Honeycutt Address: 14148 NE 190th St Woodinville WA 98072 Project Type Single Family Residential Email: Honeycutt@bobsheating.com Phone #: (800) 840-3346 Activity Type Scope of Work Alteration Mechanical Project Name: Broucek Description of Work: add a ductless heat pump Project Details HVAC Systems Heat Pump Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Main living area, Master bedroom, guest room and outside Page 2 of 2