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BLD2023-0475_Application_4.17.2023_8.46.23_AM_3486020CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1299942 - Gouge Applicant First Name Last Name Company Name Ruslan Beletskiy GREEN TOP CONSTRUCTION LLC Number Street Apartment or Suite Number E-mail Address 914 Industry Drive john@greentopheating.com City State Zip Phone Number Extension Tukwila WA 98188-2122 (253) 754-5441 Contractor Company Name GREEN TOP CONSTRUCTION LLC Number Street Apartment or Suite Number 914 Industry Drive City State Zip Phone Number Extension Tukwila WA 98188-2122 (253) 754-5441 360-890-0676 State License Number License Expiration Date UBI # E-mail Address GREENTC82306 9/29/2024 Ru iginu John@greentopheating.com Project Location Number Street Floor Number Suite or Room Number 9220 192ND PL SW City Zip Code County Parcel Number EDMONDS 98020 00434600005302 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 Frederick G Gouge Number Street Apartment or Suite Number 9220 192ND PL SW 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: 4/17/2023 Submitted By: Ruslan Beletskiy Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Mechanical Application #1299942 - Gouge Project Contact Company Name: GREEN TOP CONSTRUCTION LLC Name: Ruslan Beletskiy Email: john@greentopheating.com Address: 914 Industry Drive Phone #: (253) 754-5441 Tukwila WA 98188-2122 Project Type Single Family Residential Activity Type Scope of Work Alteration Mechanical Project Name: Gouge Description of Work: installation of heat pump and air handler Project Details HVAC Systems Air Handler 10,000 CFM or less 1 Heat Pump 1 Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Heat pump installation Master Bath, Garage) Page 2 of 2