Application_1300042CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1300042
Applicant
First Name Last Name Company Name
Rusty Reed Cool Heat 365 LLC
Number Street Apartment or Suite Number E-mail Address
9204 176th St NW coolheat365@yahoo.com
City State Zip Phone Number Extension
Stanwood WA 98292 (425) 293-1289
Contractor
Company Name
COOL HEAT 365 LLC
Number Street Apartment or Suite Number
Robert 176TH ST NW
City State Zip Phone Number Extension
STANWOOD WA 98292 4252931289
State License Number License Expiration Date UBI # E-mail Address
COOLHH382405 9/25/2024 Rn4959177 coolheat365@yahoo.com
Project Location
Number Street Floor Number Suite or Room Number
23309 76TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00488800400602
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
*Robert Folgedalen
Number Street Apartment or Suite Number
8512 122 AVE 235
City State Zip
KIRKLAND WA 98033
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: 4/17/2023 Submitted By: Rusty Reed
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Mechanical Application #1300042
Project Type Activity Type Scope of Work
Single Family Residential Alteration Mechanical
Project Details
Appliances and Equipment
Gas Piping Outlets - Mech
Associated Building Permit?
There is no other onsite work that requires a building
permit.
Work Location
Work Description/Location (example: 1st floor, Side and under house
Master Bath, Garage)
Page 2 of 2