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BLD2023-0644_Application_5.25.2023_8.41.00_AM_3568546CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1322404 - 215 10th PI N Applicant First Name Last Name Company Name Karen Matheney Washington Energy Services Company, LLC Number Street Apartment or Suite Number E-mail Address 3909 196th St SW permits@washingtonenergy.com City State Zip Phone Number Extension Lynnwood WA 98036 (206) 378-6648 Contractor Company Name WASHINGTON ENERGY SVCS CO LLC Number Street Apartment or Suite Number 3909 196th St SW City State Zip Phone Number Extension Lynnwood WA 98036 (206) 378-6648 State License Number License Expiration Date UBI # E-mail Address WASHIES851 NS 9/7/2023 Fini.r;97ni9 permits@washingtonenergy.com Project Location Number Street Floor Number Suite or Room Number 215 10TH PL N City Zip Code County Parcel Number EDMONDS 98020 00434206602100 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 Karen Faris Number Street Apartment or Suite Number 215 10TH PL N 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: 5/25/2023 Submitted By: Karen Matheney Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1322404 - 215 10th PI N Project Contact Company Name: Washington Energy Services Company, LLC Name: Karen Matheney Email: permits@washingtonenergy.com Address: 3909 196th St SW Phone #: (206) 378-6648 Lynnwood WA 98036 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Name: 215 10th PI N Description of Work: INSTALLING AC Project Details HVAC Systems Air Conditioner 1 Work Location Work Description/Location (example: 1st floor, EXTERIOR Master Bath, Garage) Page 2 of 2