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Application_1293396CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1293396 Applicant First Name Last Name Company Name Amanda Webster All Climate Heating and Air Conditioning Number Street Apartment or Suite Number E-mail Address 14907 NE 95th St install@allclimate.net City State Zip Phone Number Extension Redmond WA 98052 (425) 746-3077 Contractor Company Name ALL CLIMATE HEATING & A/C Number Street Apartment or Suite Number 17527 NE 67th CT City State Zip Phone Number Extension Redmond WA 98052 425-746-3077 425-864-1368 State License Number License Expiration Date UBI # E-mail Address ALLCLCH966C6 2/26/2024 Fn99R4n37 install@allclimate.net Project Location Number Street Floor Number Suite or Room Number 7529 172ND ST SW City Zip Code County Parcel Number EDMONDS 98026 00513100012208 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 Mitsuru & Kumiko Ttee Kurosaka Number Street Apartment or Suite Number 7529 172ND ST SW City State Zip EDMONDS WA 98026-5123 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: 4/4/2023 Submitted By: Amanda Webster Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1293396 Project Type Single Family Residential Project Details HVAC Systems Furnace Work Location Activity Type Repair or Replacement Scope of Work Mechanical Work Description/Location (example: 1st floor, REPLACEMENT OF EXISITNG ELECTRIC FURNACE Master Bath, Garage) WITH LIKE IN KIND Page 2 of 2