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BLD2023-0920_Application_7.24.2023_10.26.07_AM_3684050CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1352243 - 18233 73rd Ave W 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 18233 73RD AVE W City Zip Code County Parcel Number EDMONDS 98026 00477500003700 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 Marilyn King Number Street Apartment or Suite Number 18233 73RD AVE W City State Zip EDMONDS WA 98026 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: 7/24/2023 Submitted By: Karen Matheney Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Mechanical Application #1352243 - 18233 73rd Ave W 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: 18233 73rd Ave W Description of Work: REPLACE GAS FURNACE AND ADD HEAT PUMP Project Details HVAC Systems Furnace 1 Heat Pump 1 Work Location Work Description/Location (example: 1 st floor, interior and exterior Master Bath, Garage) Page 2 of 2