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BLD2022-1585+Application+11.16.2022_5.16.32_PM+3220970CITY OF EDMONDS Mechanical Application #1229863 - STOLLER Applicant First Name Last Name NATALIE POMPA Number Street Apartment or Suite Nun 13630 54th Dr NE City State Zip Marysville WA 98271 Contractor Company Name PARKER BROS HEATING LLC Number Street 13630 54TH DR NE City State Zip MARYSVILLE WA 98271 State License Number License Expiration Date UBI # PARKEBH823JF 5/5/2024 604266072 Project Location MyBuildingPermit.com Company Name PARKER BROS HEATING LLC or E-mail Address natalie@parkerbroselectric.com Phone Number Extension (360) 572-0108 Apartment or Suite Number Phone Number Extension (425)659-2277 E-mail Address admin(a)_parkerbrosheating.com Number Street Floor Number Suite or Room Number 8304 196TH ST SW 1 NONE City Zip Code County Parcel Number EDMONDS 98026 00558700000400 Associated Building Permit Number Tenant Name STOLLER Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Sean & Steyer Dania Stoller Number Street Apartment or Suite Number 19222 17TH AVE NW City State Zip SHORELINE WA 98177 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: 11/16/2022 Submitted By: NATALIE POMPA Page 1 of 2 CITY OF EDMONDS MYBuildingPerrnit.com Mechanical Application #1229863 - STOLLER Project Contact Company Name: PAC KER BROS HEATING LL Name: NATALIE POMPA Email: natalie@parkerbroselectric.com Address: 13630 54th Dr NE Phone #: (360) 572-0108 Marysville WA 98271 Project Type Nonresidential Activity Type Alteration Scope of Work Mechanical Project Name: STOLLER Description of Work: INSTALLING HEAT MINI SPLIT - ONE GROUND MOUNTED EXTERIOR UNIT AND TWO (2) INTERIOR HEAD UNITS Project Details Scope of Work Installation of equipment HVAC Systems HVAC - Exterior Ground Mounted 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, Master Bath, Garage) 1 HP MINI SPLIT - OUTDOOR GROUNDED UNIT AND INDOOR HEAD UNIT Page 2 of 2